Organization
ROSENTHAL, CLARK AND MATSURRA
Active
Other names
Atlanta Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE DILLARD (PRACTICE ADMINISTRATOR)
(404) 524-0095
Entity
Organization
Contact information
Practice address
315 BOULEVARD, N.E. 412, ATLANTA, GA 30312-1264
(404) 524-0095
(404) 658-9558
Mailing address
315 BOULEVARD NE, N.E. 412, ATLANTA, GA 30312-1200
(404) 524-0095
(404) 658-9558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055001472A
—
GA
Enumeration date
05/18/2007
Last updated
08/26/2011
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