# NORTH ATLANTA VASCULAR CLINIC, PC

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

## Provider details

- **NPI number:** 1619987682
- **Authorized official:** DR. UTHAN VIVEK MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (770) 771-5260

## Contact information

- **Practice address:** 2685 PEACHTREE PKWY STE 320, SUWANEE, GA 30024-1048
- **Practice address phone:** (770) 771-5269
- **Practice address fax:** (770) 771-5269
- **Mailing address:** 2685 PEACHTREE PKWY STE 320, SUWANEE, GA 30024-1048
- **Mailing address phone:** (770) 771-5269
- **Mailing address fax:** (770) 771-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 058235 | GA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 06/28/2021
