# CENTER FOR VASCULAR INTERVENTION LLC

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

## Provider details

- **NPI number:** 1295256311
- **Authorized official:** DOUGLAS C. REDD (OWNER)
- **Authorized official phone:** (770) 538-1772

## Contact information

- **Practice address:** 5505 PEACHTREE DUNWOODY RD STE 370, ATLANTA, GA 30342-1713
- **Practice address phone:** (770) 538-1772
- **Practice address fax:** (770) 538-1773
- **Mailing address:** 5505 PEACHTREE DUNWOODY RD STE 370, ATLANTA, GA 30342-1713
- **Mailing address phone:** (770) 538-1772
- **Mailing address fax:** (770) 538-1773

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 10/31/2019
