Individual
VIVEK AMIT MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901-5108
(706) 724-8611
Mailing address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901-5108
(706) 724-8611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
100983
GA
Other
Enumeration date
07/05/2017
Last updated
07/11/2025
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