Organization · Type 2 NPI
Institute of Restorative Medicine
Vascular Surgery Physician · Jonesboro, GA
NPI number
1851084313
Active
Practice location
7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566
Fax (470) 288-0223
Mailing address
1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1851084313
Institute of Restorative Medicine's National Provider Identifier is 1851084313, issued on May 31, 2023. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Jonesboro, GA. The record was last updated on Apr 30, 2024.