Organization
GEORGIA VASCULAR SPECIALISTS PC
Active
Parent organization
GEORGIA VASCULAR HOLDING CORPORATION PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA VASCULAR HOLDING CORPORATION PC
Authorized official
LAVERNE W POINDEXTER RN, MBA (EXECUTIVE ADMINISTRATOR)
(404) 350-9505
Entity
Organization
Contact information
Practice address
1718 PEACHTREE ST NW, SUITE 360, ATLANTA, GA 30309-2452
(404) 350-9505
(404) 350-1611
Mailing address
PO BOX 54888, ATLANTA, GA 30308-0888
(404) 350-9505
(404) 350-1611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
04/22/2014
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