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Organization
SOUTH ATLANTA VASCULAR INSTITUTE, LLC
Active
Organization
SOUTH ATLANTA VASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM ALLISON MD (MANAGING MEMBER)
(770) 919-5238
Entity
Organization
Contact information
Practice address
4045 MT. ZION PARKWAY, STOCKBRIDGE, GA 30281
(770) 919-5238
(470) 781-5393
Mailing address
4045 MT. ZION PARKWAY, STOCKBRIDGE, GA 30281
(770) 919-5238
(470) 781-5393
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
70519
GA
2086S0129X
Vascular Surgery Physician
Primary
66855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386869535
—
TN
05
—
1598965006
—
GA
05
—
1760644355
—
MA
Enumeration date
05/24/2018
Last updated
09/09/2026
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