# ST. JOSEPH'S VASCULAR GROUP, LLC

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

## Provider details

- **NPI number:** 1164829883
- **Authorized official:** PAUL P. HUNCHEY (PRESIDENT/CEO)
- **Authorized official phone:** (912) 819-6901

## Contact information

- **Practice address:** 11909 MCAULEY DRIVE, SUITE 100 A2, SAVANNAH, GA 31419
- **Practice address phone:** (912) 954-8331
- **Practice address fax:** (912) 352-9782
- **Mailing address:** 836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
- **Mailing address phone:** (912) 819-7878
- **Mailing address fax:** (912) 819-3320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2014
- **Last updated:** 04/24/2020