# VEIN ATLANTA, LLC

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

## Provider details

- **NPI number:** 1316226582
- **Authorized official:** DR. LOUIS G PREVOSTI M.D. (OWNER/ M.D.)
- **Authorized official phone:** (404) 446-2800

## Contact information

- **Practice address:** 1100 JOHNSON FERRY RD NE, SUITE 165, ATLANTA, GA 30342-1709
- **Practice address phone:** (404) 446-2800
- **Practice address fax:** (404) 446-2809
- **Mailing address:** 1100 JOHNSON FERRY RD NE, SUITE 165, ATLANTA, GA 30342-1709
- **Mailing address phone:** (404) 446-2800
- **Mailing address fax:** (404) 446-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 034923 | GA | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 06/14/2023
