# ATLANTA VASCULAR AND INTERVENTIONAL RADIOLOGY ASSOCIATE, LLC

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

## Provider details

- **NPI number:** 1144742271
- **Authorized official:** MRS. ANISHUA M ROBERTS (OFFICE MANAGER)
- **Authorized official phone:** (678) 519-0344

## Contact information

- **Practice address:** 4550 JONESBORO RD STE K, UNION CITY, GA 30291-2053
- **Practice address phone:** (678) 519-0334
- **Practice address fax:** (404) 920-3430
- **Mailing address:** 3645 MARKETPLACE BLVD STE 130-420, EAST POINT, GA 30344-5747
- **Mailing address phone:** (678) 519-0334
- **Mailing address fax:** (404) 920-3430

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/11/2017