Organization · Type 2 NPI

Lifeline Vascular Center - Albany, LLC

Vascular Surgery Physician · Albany, GA

NPI number 1861730855 Active

Practice location

2300 Dawson Rd Ste 100
Albany, GA 31707-2804

Fax (229) 888-5464

Mailing address

1 Parkway North Blvd Ste 200S
Deerfield, IL 60015-2534

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Vascular Surgery Physician Primary 2086S0129XNone 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.

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About NPI 1861730855

Lifeline Vascular Center - Albany, LLC's National Provider Identifier is 1861730855, issued on Jan 25, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Albany, GA. The record was last updated on Feb 19, 2024.