Organization
COMPREHENSIVE VASCULAR SURGERY OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL E ASCHE CROWE P.A. (PRACTICE COORDINATOR)
(770) 474-3882
Entity
Organization
Contact information
Practice address
150 COUNTRY CLUB DR, SUITE 100, STOCKBRIDGE, GA 30281-7344
(770) 474-3882
(770) 474-9392
Mailing address
150 COUNTRY CLUB DR, SUITE 100, STOCKBRIDGE, GA 30281-7344
(770) 474-3882
(770) 474-9392
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
263703
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030828A
—
GA
Enumeration date
05/03/2006
Last updated
06/28/2013
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