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Organization

VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLIE A ROSE M.D. (OWNER/OFFICE MANAGER)
(404) 299-6488
Entity
Organization

Contact information

Practice address
2675 N DECATUR RD, SUITE 410, DECATUR, GA 30033-6131
(404) 299-6488
(404) 299-7522
Mailing address
2675 N DECATUR RD, SUITE 410, DECATUR, GA 30033-6131
(404) 299-6488
(404) 299-7522

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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