# ADVANCED VASCULAR AND VEIN, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1043174857
- **Authorized official:** BRADLEY WHITE DO (OWNER)
- **Authorized official phone:** (239) 223-9105

## Contact information

- **Practice address:** 2711 IRVIN WAY STE 101, DECATUR, GA 30030-5405
- **Practice address phone:** (678) 344-8900
- **Practice address fax:** (678) 666-5201
- **Mailing address:** 1551 JANMAR RD, SNELLVILLE, GA 30078-5606
- **Mailing address phone:** (470) 579-5600
- **Mailing address fax:** (678) 691-0506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/15/2025