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Contact Information

ADVANCED VASCULAR AND VEIN, PC
2711 IRVIN WAY STE 102
DECATUR, GA30030-5405
 Phone: 678-344-8900
 Fax: 678-666-5201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for ADVANCED VASCULAR AND VEIN, PC

NPI Number 1174487995
LBN Legal business name ADVANCED VASCULAR AND VEIN, PC
Authorized official BRADLEY WHITE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2025
Last updated 12/15/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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