Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Endovascular Therapy and Vascular Surgery of Ga

Organization Specialist · NPI 1861647414

Endovascular Therapy and Vascular Surgery of Ga is a Specialist in Acworth, Georgia. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4450 Calibre Xing Ste 1122 Governors Pavilion Bldg
Acworth, GA 30101-0000
Phone: (850) 267-1040
Fax: (866) 799-9384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1861647414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Carignan — Medical Doctor · (850) 267-1040
NPI enumeratedNovember 24, 2008
Last updated in NPPESNovember 24, 2008
Mailing address4450 Calibre Crossing Suite 1122, Governors Pavilion Bldg, Acworth, GA 30101-0000

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