Organization
THE VEIN CENTER OF NORTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L TUCKER (BILLING MANAGER)
(770) 664-5713
Entity
Organization
Contact information
Practice address
3400 OLD MILTON PKWY, SUITE C590, ALPHARETTA, GA 30005-3707
(770) 664-5713
(770) 663-0080
Mailing address
3400 OLD MILTON PARKWAY, SUITE C590, ALPHARETTA, GA 30005
(770) 664-5713
(770) 663-0080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915087B
—
GA
Enumeration date
03/13/2007
Last updated
07/17/2008
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