Organization
ADVANCED VASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED ATIF ALI (MANAGER)
(770) 910-2377
Entity
Organization
Contact information
Practice address
1374 HIGHWAY 192 E, LONDON, KY 40741-3123
(770) 910-2377
Mailing address
5236 HAVERFORD MILL CV, LILBURN, GA 30047-5955
(770) 910-2377
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
31393
KY
Other
Enumeration date
01/05/2017
Last updated
01/09/2017
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