# TRUFFLES VEIN OF GWINNETT LLC

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

## Provider details

- **NPI number:** 1386559888
- **Authorized official:** CASEY RAY RAY (DIRECTOR OF OPERATIONS/HR)
- **Authorized official phone:** (678) 833-1444

## Contact information

- **Practice address:** 1780 PRESIDENTIAL CIR \# 200, SNELLVILLE, GA 30078-5643
- **Practice address phone:** (678) 833-1444
- **Practice address fax:** (678) 833-1445
- **Mailing address:** 1780 PRESIDENTIAL CIR \# 200, SNELLVILLE, GA 30078-5643
- **Mailing address phone:** (678) 833-1444
- **Mailing address fax:** (678) 833-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026
