Organization · Type 2 NPI

Eastside Vascular Medicine and Surgery, P.c.

Specialist · Snellville, GA

NPI number 1861676306 Active

Practice location

1700 Tree Lane Rd, Suite 460
Snellville, GA 30078-6782

Call (678) 684-1040 Map

Fax (678) 684-1045

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X050323 (GA)

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 1861676306

Eastside Vascular Medicine and Surgery, P.c.'s National Provider Identifier is 1861676306, issued on Dec 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Snellville, GA. The record was last updated on Dec 19, 2007.