Antioch Vascular Center, LLC

NPI #1023517505 in Savannah, Georgia

Provider Information

NPI Number: 1023517505
Entity Type: Organization
Organization Name: Antioch Vascular Center, LLC
Primary Specialty: Specialist/Technologist Cardiovascular - Vascular Specialist
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 9104 MIDDLEGROUND ROAD
Address 2: SUITE 2
City: Savannah
State: Georgia
ZIP Code: 31406
Phone: (912) 927-8011

Authorized Official

Name: MR. J ALPHONSO DANDY
Title: CEO
Phone: (912) 927-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Specialist/Technologist Cardiovascular - Vascular Specialist — Vascular Specialist	246XC2903X	Primary

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