# ROCKDALE VASCULAR AND THORACIC SURGERY, LLC

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

## Provider details

- **NPI number:** 1184879678
- **Authorized official:** DR. C JOHN ABLAN MD (MANAGING PARTNER)
- **Authorized official phone:** (770) 785-7195

## Contact information

- **Practice address:** 1368C WELLBROOK CIR NE, CONYERS, GA 30012-3872
- **Practice address phone:** (770) 785-7195
- **Practice address fax:** (770) 785-7405
- **Mailing address:** 1368C WELLBROOK CIR NE, CONYERS, GA 30012-3872

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/25/2008