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Organization
ATLANTA VASCULAR SURGERY
Active
Organization
ATLANTA VASCULAR SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P RIELLY MD (OWNER)
(770) 628-2855
Entity
Organization
Contact information
Practice address
1002 LINDBERGH DR NE, ATLANTA, GA 30324-3721
(770) 628-2855
Mailing address
1002 LINDBERGH DR NE, ATLANTA, GA 30324-3721
(917) 520-7858
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
38932
GA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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