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South Atlanta Vascular Institute, Llc
Vascular Surgery Physician in Powder Springs, Georgia
NPI 1063903078

South Atlanta Vascular Institute, Llc is a Vascular Surgery Physician based in Powder Springs, GA and is specialized in Vascular Surgery. South Atlanta Vascular Institute, Llc practices in Powder Springs, GA. The NPI Number for South Atlanta Vascular Institute, Llc is 1063903078 and holds a License No. 70519 (Georgia).

The current practice location address for South Atlanta Vascular Institute, Llc is 4714 Oakleigh Manor Dr, Powder Springs, GA and can be reached out via phone at 770-688-5334.

Location: 4714 Oakleigh Manor Dr, Powder Springs, GA, 30127-4923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063903078
Provider Name
South Atlanta Vascular Institute, Llc
Credential
Provider Entity Type
Organization
Address
4714 Oakleigh Manor Dr, Powder Springs, GA, 30127-4923
Phone Number
770-688-5334
Fax Number
Provider Enumeration Date
05/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598965006 05 GA
1760644355 05 MA
1386869535 05 TN
institution
Provider Business Practice Location Address Details
Address
4714 Oakleigh Manor Dr
City
Powder Springs
State
Georgia
Zip
30127-4923
Phone Number
770-688-5334
Fax Number
person
Provider Business Mailing Address Details
Address
4714 Oakleigh Manor Dr
City
Powder Springs
State
Georgia
Zip
30127-4923
Phone Number
770-688-5334
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
66855 (Georgia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
70519 (Georgia)
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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