COMPREHENSIVE VASCULAR CARE LLC NPI 1922169846

NPI Information

NPI: 1922169846
Provider Name: COMPREHENSIVE VASCULAR CARE, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1109 BURLEYSON RD
SUITE 202
DALTON, GA
ZIP 30720
Phone: (706) 259-3336
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COMPREHENSIVE VASCULAR CARE, LLC is a vascular surgery surgery in Dalton, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COMPREHENSIVE VASCULAR CARE, LLC NPI is 1922169846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1109 BURLEYSON RD
SUITE 202
DALTON, GA
ZIP 30720-094
Phone: (706) 259-3336
Fax: (706) 370-7715

The provider's authorized official is Ian Neil Hamilton .
The authorized official title is Owner and has the following contact phone number (706) 259-3336.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

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	2086S0129X	Surgery	Vascular Surgery	047329	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	047329	OTHER	GEORGIA	STATE LICENSE ID
2	RN123324	OTHER	GEORGIA	SHULER STATE LICENSE

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

NPI Synchronization or Removal

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