SOUTHEAST ATLANTA VASCULAR CARE LLC NPI 1912594581

NPI Information

NPI: 1912594581
Provider Name: SOUTHEAST ATLANTA VASCULAR CARE, LLC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
5461 HILLANDALE DR STE 210
LITHONIA, GA
ZIP 30058
Phone: (239) 597-2010
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SOUTHEAST ATLANTA VASCULAR CARE, LLC is a critical access general acute care hospital in Lithonia, GA. SOUTHEAST ATLANTA VASCULAR CARE, LLC NPI is 1912594581. The provider is registered as an organization entity type.

The provider's business location address is:

5461 HILLANDALE DR STE 210
LITHONIA, GA
ZIP 30058-842
Phone: (239) 597-2010
Fax: (770) 981-8908

The provider's authorized official is Lisa Mcnamara .
The authorized official title is Cfo and has the following contact phone number (239) 597-2010.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/29/2020.

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
1	282NC0060X	General Acute Care Hospital	Critical Access			Yes

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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