# GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023397213
- **Authorized official:** MR. RONALD D REED (VICE PRESIDENT)
- **Authorized official phone:** (678) 843-5773

## Contact information

- **Practice address:** 5671 PEACHTREE DUNWOODY RD NE, SUITE 250, ATLANTA, GA 30342-5000
- **Practice address phone:** (404) 256-0170
- **Practice address fax:** (404) 256-2998
- **Mailing address:** 1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
- **Mailing address phone:** (770) 995-7622
- **Mailing address fax:** (770) 995-7854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 08/09/2011