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Organization
UMG VASCULAR, LLC
Active
Organization
UMG VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DEASON (DIRECTOR)
(706) 774-8326
Entity
Organization
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-7022
(706) 774-7023
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-8326
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
08/07/2013
Last updated
02/26/2018
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