Organization
COMPREHENSIVE VASCULAR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN NEIL HAMILTON JR. M.D. (OWNER)
(706) 259-3336
Entity
Organization
Contact information
Practice address
1109 BURLEYSON RD, SUITE 202, DALTON, GA 30720-3094
(706) 259-3336
(706) 370-7715
Mailing address
1109 BURLEYSON RD, SUITE 202, DALTON, GA 30720-3094
(706) 259-3336
(706) 370-7715
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
047329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047329
STATE LICENSE ID
GA
01
—
RN123324
SHULER STATE LICENSE
GA
Enumeration date
12/13/2006
Last updated
08/22/2020
Update your record
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