# SURGICAL SPECIALISTS OF GEORGIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vascular Disease Institute, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861568040
- **Authorized official:** MS. AMY D SEABOLT BSBA (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (770) 534-0110

## Contact information

- **Practice address:** 1250 JESSE JEWELL PKWY SE, SUITE 300, GAINESVILLE, GA 30501-3871
- **Practice address phone:** (770) 534-0110
- **Practice address fax:** (770) 534-2555
- **Mailing address:** 1250 JESSE JEWELL PKWY SE, SUITE 300, GAINESVILLE, GA 30501-3871
- **Mailing address phone:** (770) 534-0110
- **Mailing address fax:** (770) 534-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 050992 | GA | — |
| 208600000X | Surgery Physician | 059108 | GA | — |
| 2086S0129X | Vascular Surgery Physician | 035736 | GA | Yes |
| 363L00000X | Nurse Practitioner | RN171688NP | GA | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 07/10/2009