Organization
VASCULAR ACCESS CENTER CENTER OF SOUTH ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J PARKINSON (COO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
150 COUNTRY CLUB DR, SUITE 101, STOCKBRIDGE, GA 30281-9089
(215) 382-3680
Mailing address
150 COUNTRY CLUB DR, SUITE 101, STOCKBRIDGE, GA 30281-9089
(770) 507-4042
(770) 507-4071
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
GA
Other
Enumeration date
01/04/2008
Last updated
08/11/2009
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