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Organization
GEORGIA VASCULAR INSTITUTE, LLC
Active
Organization
GEORGIA VASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY FARROW (COO)
(770) 506-4007
Entity
Organization
Contact information
Practice address
3886 PRINCETON LAKES WAY SW STE 100, ATLANTA, GA 30331-5511
(770) 506-4007
(678) 623-3543
Mailing address
3886 PRINCETON LAKES WAY SW STE 100, ATLANTA, GA 30331-5511
(770) 506-4007
(678) 623-3543
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
12/16/2021
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