National Provider Identifier Database

ATLANTA VASCULAR AND VEIN CENTER LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ATLANTA VASCULAR AND VEIN CENTER, LLC
600 PROFESSIONAL DR
SUITE 160A
LAWRENCEVILLE, GA30046-7651
Phone: 973-632-8372
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for ATLANTA VASCULAR AND VEIN CENTER, LLC

NPI Number 1538546114
Legal business name
LBN
ATLANTA VASCULAR AND VEIN CENTER, LLC
Authorized official AMISH TILARA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/02/2015
Last updated 08/24/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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