Organization
SURGICAL SPECIALISTS OF GEORGIA, PC
Active
Other names
Vascular Disease Institute, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY D SEABOLT BSBA (BUSINESS OFFICE MANAGER)
(770) 534-0110
Entity
Organization
Contact information
Practice address
1250 JESSE JEWELL PKWY SE, SUITE 300, GAINESVILLE, GA 30501-3871
(770) 534-0110
(770) 534-2555
Mailing address
1250 JESSE JEWELL PKWY SE, SUITE 300, GAINESVILLE, GA 30501-3871
(770) 534-0110
(770) 534-2555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
050992
GA
208600000X
Surgery Physician
059108
GA
2086S0129X
Vascular Surgery Physician
Primary
035736
GA
363L00000X
Nurse Practitioner
RN171688NP
GA
Other
Enumeration date
11/28/2006
Last updated
07/10/2009
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