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Organization

GEORGIA VASCULAR & INTERVENTIONAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEAL D SHIREY MD (OWNER)
(678) 902-4847
Entity
Organization

Contact information

Practice address
528 S 8TH ST, GRIFFIN, GA 30224-4212
(678) 902-4847
(770) 415-1447
Mailing address
528 S 8TH ST, GRIFFIN, GA 30224-4212
(678) 902-4847
(770) 415-1447

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
047842
GA

Other

Enumeration date
01/26/2017
Last updated
03/02/2017
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