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Northeast Georgia Vascular Center
Preferred Provider Organization in Gainesville, Georgia
NPI 1942553359

Northeast Georgia Vascular Center is a Preferred Provider Organization based in Gainesville, GA. Northeast Georgia Vascular Center practices in Gainesville, GA. The NPI Number for Northeast Georgia Vascular Center is 1942553359 and holds a License No. 61114 (Georgia).

The current practice location address for Northeast Georgia Vascular Center is 4763 Shirley Rd, Gainesville, GA and can be reached out via phone at 770-535-1948 and via fax at 770-535-1488.

Location: 4763 Shirley Rd, Gainesville, GA, 30506-5108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942553359
Provider Name
Northeast Georgia Vascular Center
Credential
Provider Entity Type
Organization
Address
4763 Shirley Rd, Gainesville, GA, 30506-5108
Phone Number
770-535-1948
Fax Number
770-535-1488
Provider Enumeration Date
10/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942553359 01 GA NPI
institution
Provider Business Practice Location Address Details
Address
4763 Shirley Rd
City
Gainesville
State
Georgia
Zip
30506-5108
Phone Number
770-535-1948
Fax Number
770-535-1488
person
Provider Business Mailing Address Details
Address
4763 Shirley Rd
City
Gainesville
State
Georgia
Zip
30506-5108
Phone Number
770-535-1948
Fax Number
770-535-1488
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
61114 (Georgia)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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