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

Genesis Vascular of Pooler, LLC

Organization Cardiovascular Disease Physician · NPI 1376930339

Genesis Vascular of Pooler, LLC is a Cardiovascular Disease Physician in Pooler, Georgia. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Towne Center Blvd Bldg 400
Pooler, GA 31322-4052
Phone: (912) 662-0223
Fax: (912) 662-0224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1376930339
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Global Healthcare
Authorized official James O'Dare — Principal · (856) 335-5025
Other names Gv Of Pooler
NPI enumeratedApril 16, 2015
Last updated in NPPESNovember 13, 2015
Mailing address575 N Route 73, Ste A6, West Berlin, NJ 08091-9289

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