Northeast Georgia Vascular Center
Northeast Georgia Vascular Center is a Preferred Provider Organization in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
Practice location Address checks out
4763 Shirley RdGainesville, GA 30506-5108
Phone: (770) 535-1948
Fax: (770) 535-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 61114 (GA) |
|---|
Record details
| NPI number | 1942553359 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Lebow — Owner · (770) 535-1948 |
| Other names | Vascular Clinics Of Northeast Georgia |
| NPI enumerated | October 23, 2012 |
| Last updated in NPPES | February 18, 2013 |
| Mailing address | 4763 Shirley Rd, Gainesville, GA 30506-5108 |