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Contact Information

COMPREHENSIVE VASCULAR CARE, LLC
1109 BURLEYSON RD
SUITE 202
DALTON, GA30720-3094
 Phone: 706-259-3336
 Fax: 706-370-7715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE VASCULAR CARE, LLC

NPI # 1922169846
LBN Legal business name COMPREHENSIVE VASCULAR CARE, LLC
Authorized official IAN HAMILTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 047329
GA Other RN123324 SHULER STATE LICENSE
GA Other 047329 STATE LICENSE ID
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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