# NEWNAN VASCULAR CENTER, LLC

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

## Provider details

- **NPI number:** 1144540519
- **Authorized official:** JANET R. DEES RN (MANANGING MEMBER)
- **Authorized official phone:** (727) 474-0090

## Contact information

- **Practice address:** 2690 HIGHWAY 34 E STE A, NEWNAN, GA 30265-1330
- **Practice address phone:** (727) 474-0090
- **Practice address fax:** (727) 474-0098
- **Mailing address:** 3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
- **Mailing address phone:** (727) 474-0090
- **Mailing address fax:** (727) 474-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 04/05/2018