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UNIVERSITY SURGICAL ASSOCIATES OF ATHENS NPI 1861500183


NPI Information

NPI: 1861500183
Provider Name: UNIVERSITY SURGICAL ASSOCIATES OF ATHENS

Doing Business As: UNIVERSITY VASCULAR

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2038600

Address:
1357 OCONEE CONNECTOR BLDG 300
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 549-8306
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UNIVERSITY SURGICAL ASSOCIATES OF ATHENS is a specialist in Watkinsville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UNIVERSITY SURGICAL ASSOCIATES OF ATHENS NPI is 1861500183. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Vascular.

The provider's business location address is:

1357 OCONEE CONNECTOR BLDG 300
WATKINSVILLE, GA
ZIP 30677-314
Phone: (706) 549-8306
Fax: (706) 549-8351

The provider's authorized official is Jonathan D Woody .
The authorized official title is Secretary and has the following contact phone number (706) 549-8306.

The CLIA number assigned to this NPI record is 11D2038600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 11/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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