Organization
NORTHWEST ATLANTA VASCULAR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A MCNAMARA (EVP)
(239) 597-2010
Entity
Organization
Contact information
Practice address
711 CANTON RD NE STE 220, MARIETTA, GA 30060-8949
(239) 597-2010
(239) 597-2313
Mailing address
9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
(239) 597-2010
(239) 597-2313
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/26/2012
Last updated
12/04/2018
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