Organization
GEORIA VASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVERNE W POINDEXTER RN, MBA (EXECUTIVE ADMINISTRATOR)
(770) 270-5229
Entity
Organization
Contact information
Practice address
1718 PEACHTREE ST NW, SUITE 260, ATLANTA, GA 30309-2452
(404) 350-9505
(404) 350-1611
Mailing address
PO BOX 54157, ATLANTA, GA 30308-0157
(404) 350-9505
(404) 350-1611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
029071
GA
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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