Organization
VILLAGE PODIATRY GROUP, LLC.
Active
Parent organization
EXTREMITY HEALTHCARE, INC.
Other names
US Cardiovascular Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTREMITY HEALTHCARE, INC.
Authorized official
MITCHELL P HILSEN DPM (C.O.O.)
(770) 384-0284
Entity
Organization
Contact information
Practice address
1938 PEACHTREE RD NW, STE. L-5, ATLANTA, GA 30309-1267
(678) 831-2722
(678) 999-5055
Mailing address
900 CIRCLE 75 PKWY SE STE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/31/2015
Last updated
04/29/2016
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