Organization
PREMIER VASCULAR, LLC
Active
Other names
Premier Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CUDNIK (MEMBER)
(478) 250-9785
Entity
Organization
Contact information
Practice address
1902 FORSYTH ST, MACON, GA 31201-8132
(478) 250-9785
(478) 202-9505
Mailing address
451 COLLEGE ST UNIT 13025, MACON, GA 31208-3009
(478) 202-9505
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
06/06/2025
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