Eastside Vascular Medicine and Surgery, PC
Eastside Vascular Medicine and Surgery, PC is a Specialist in Snellville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1700 Tree Lane Rd Ste 460Snellville, GA 30078-6782
Phone: (678) 684-1040
Fax: (678) 684-1045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 050323 (GA) |
|---|
Record details
| NPI number | 1861676306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Junaid Mudaliar — President · (678) 684-1040 |
| NPI enumerated | December 19, 2007 |
| Last updated in NPPES | December 19, 2007 |
| Mailing address | 1700 Tree Lane Rd, Suite 460, Snellville, GA 30078-6782 |
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