Organization · Type 2 NPI

Endovascular Therapy and Vascular Surgery of Ga

Specialist · Acworth, GA

NPI number 1861647414 Active

Practice location

4450 Calibre Crossing Suite 1122, Governors Pavilion Bldg
Acworth, GA 30101-0000

Fax (866) 799-9384

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861647414

Endovascular Therapy and Vascular Surgery of Ga's National Provider Identifier is 1861647414, issued on Nov 24, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Acworth, GA. The record was last updated on Nov 24, 2008.