- Practice location
- 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052
- Phone
- 912-662-0223
- Fax
- 912-662-0224
- Last updated
- November 13, 2015
Genesis Vascular Of Pooler, LLC is a healthcare organization based in Pooler, GA. Genesis Vascular Of Pooler, LLC practices in Pooler, GA. The NPI Number for Genesis Vascular Of Pooler, LLC is 1376930339. The current practice location address for Genesis Vascular Of Pooler, LLC is 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 and can be reached out via phone at 912-662-0223 and via fax at 912-662-0224.
Provider Profile Details
- NPI Number
- 1376930339
- Provider Name
- Genesis Vascular Of Pooler, LLC
- Provider Entity Type
- Organization
- Address
- 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052
- Phone Number
- 912-662-0223
- Fax Number
- 912-662-0224
- Primary Taxonomy
- Internal Medicine, Interventional Cardiology · 207RI0011X
- Organization Subpart
- Yes
- Parent Organization
- Genesis Global Healthcare
- Authorized Official
- James Thomas O'Dare · Principal · 856-335-5025
- Other Names
- Gv Of Pooler (Other Name)
- Provider Enumeration Date
- April 16, 2015
- Last Update Date
- November 13, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Towne Center Blvd
Building 400
Pooler, GA 31322-4052 - City
- Pooler
- State
- Georgia
- Zip
- 31322-4052
- Phone Number
- 912-662-0223
- Fax Number
- 912-662-0224
Provider Business Mailing Address Details
- Address
- 575 N Route 73
Ste A6
West Berlin, NJ 08091-9289 - City
- West Berlin
- State
- NJ
- Zip
- 08091-9289
- Phone Number
- 856-335-5025
- Fax Number
- 856-213-9269
License Information
- Taxonomy (1)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Taxonomy (2)
- Radiology, Vascular & Interventional Radiology · 2085R0204X
- Taxonomy (4)
- Internal Medicine, Interventional Cardiology · 207RI0011X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Genesis Vascular Of Pooler, LLC?
The NPI number of Genesis Vascular Of Pooler, LLC is 1376930339. It was assigned on April 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Genesis Vascular Of Pooler, LLC?
Genesis Vascular Of Pooler, LLC is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X).
Where does Genesis Vascular Of Pooler, LLC practice?
The practice location is 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052. The office can be reached at 912-662-0223 (phone) or 912-662-0224 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376930339 directly on the NPPES registry website.