Organization · Type 2 NPI

Center for Vein Restoration Ga Corp

Vascular Surgery Physician · Atlanta, GA

NPI number 1902423387 Active

Practice location

1100 Johnson Fy Rd NE Ste 165
Atlanta, GA 30342-1795

Fax (240) 473-4321

Mailing address

7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500

Other practice locations

  • 3886 Princeton Lakes Way SW Ste 140, Atlanta, GA 30331-5511 · (855) 830-8346
  • 601 Professional Dr Ste 170, Lawrenceville, GA 30046-7649 · (855) 830-8346

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone 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 1902423387

Center for Vein Restoration Ga Corp's National Provider Identifier is 1902423387, issued on Jul 1, 2020. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Atlanta, GA. The record was last updated on Apr 30, 2024.