Organization
LIMBS VASCULAR INTERVENTIONS ASC
Active
Other names
LIMBS VASCULAR INTERVENTIONS ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OGHENERUKEVWE ODIETE MD (PHYSICIAN)
(770) 400-9588
Entity
Organization
Contact information
Practice address
1825 HIGHWAY 34 E STE 3400A, NEWNAN, GA 30265-6433
(770) 400-9588
(470) 400-3452
Mailing address
1825 HIGHWAY 34 E STE 3400A, NEWNAN, GA 30265-6433
(770) 400-9588
(470) 400-3452
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
05/28/2025
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