Organization
INNOVATIVE VASCULAR & VEIN OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DEES (DIRECTOR)
(470) 381-4666
Entity
Organization
Contact information
Practice address
1100 LAKE HEARN DR, ATLANTA, GA 30342-1523
(470) 381-4666
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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