Organization
ANTIOCH VASCULAR CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J ALPHONSO DANDY (CEO)
(912) 927-8011
Entity
Organization
Contact information
Practice address
9104 MIDDLEGROUND ROAD, SUITE 2, SAVANNAH, GA 31406
(912) 927-8011
(912) 927-8311
Mailing address
9104 MIDDLEGROUND ROAD, SUITE 2, SAVANNAH, GA 31406
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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