Organization
ATLANTA VASCULAR AND INTERVENTIONAL RADIOLOGY ASSOCIATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISHUA M ROBERTS (OFFICE MANAGER)
(678) 519-0344
Entity
Organization
Contact information
Practice address
4550 JONESBORO RD STE K, UNION CITY, GA 30291-2053
(678) 519-0334
(404) 920-3430
Mailing address
3645 MARKETPLACE BLVD STE 130-420, EAST POINT, GA 30344-5747
(678) 519-0334
(404) 920-3430
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
GA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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