Organization
VASCULAR ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY BRADLEY BOLAND M.D. (PRESIDENT)
(423) 629-6550
Entity
Organization
Contact information
Practice address
2515 DESALES AVE, SUITE 206, CHATTANOOGA, TN 37404-1100
(423) 629-6550
(423) 629-0612
Mailing address
PO BOX 116976, ATLANTA, GA 30368-6976
(423) 629-6550
(423) 629-0612
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3138958
BLUECROSS OF TN
TN
05
—
3721850
—
TN
01
—
AS26943330004
CIGNA COMM
TN
05
—
VA
—
TN
Enumeration date
09/25/2006
Last updated
08/22/2020
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