# VASCULAR ACCESS CENTER CENTER OF SOUTH ATLANTA, LLC

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

## Provider details

- **NPI number:** 1215112685
- **Authorized official:** KIMBERLY J PARKINSON (COO)
- **Authorized official phone:** (215) 382-3680

## Contact information

- **Practice address:** 150 COUNTRY CLUB DR, SUITE 101, STOCKBRIDGE, GA 30281-9089
- **Practice address phone:** (215) 382-3680
- **Mailing address:** 150 COUNTRY CLUB DR, SUITE 101, STOCKBRIDGE, GA 30281-9089
- **Mailing address phone:** (770) 507-4042
- **Mailing address fax:** (770) 507-4071

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 08/11/2009