Georia Vascular Surgery Pc in Atlanta - Vascular Surgery
Georia Vascular Surgery Pc - NPI 1619036928
Georia Vascular Surgery Pc is a Vascular Surgery in Atlanta, Georgia. Georia Vascular Surgery Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Georia Vascular Surgery Pc is 1619036928. The last update date is 2020-08-22.
Georia Vascular Surgery Pc's current location address is Po Box 54157, Atlanta, Georgia. You can contact this provider via phone number 4043509505 and fax number 4043501611. The mailing address for Georia Vascular Surgery Pc is Po Box 54157, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georia Vascular Surgery Pc |
|---|---|
| Address | Po Box 54157, Atlanta, Georgia |
| Phone Number | 4043509505 |
| Fax Number | 4043501611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Poindexter W Laverne |
| Credentials | RN, MBA |
| Telephone Number | 7702705229 |
NPI Number Detail
| NPI Number | 1619036928 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 54157 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303080157 |
| Phone Number | 4043509505 |
| Fax Number | 4043501611 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 29071 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the Georia Vascular Surgery Pc's unique identification number?
The Georia Vascular Surgery Pc has been assigned the NPI (National Provider Identifier) Number 1619036928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Georia Vascular Surgery Pc's physical address?
The Georia Vascular Surgery Pc is physically located at Po Box 54157, in the city of Atlanta, GA, with the postal code 303080157.
What is Georia Vascular Surgery Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georia Vascular Surgery Pc's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Georia Vascular Surgery Pc receive its 1619036928 assignment from the Centers for Medicare & Medicaid Services?
The Georia Vascular Surgery Pc was assigned its 1619036928 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date was the information regarding Georia Vascular Surgery Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Georia Vascular Surgery Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.