Avvc Medical, LLC
NPI #1720512635 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1720512635
- Entity Type
- Organization
- Organization Name
- Avvc Medical, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Apr 18, 2017
- Last Updated
- Apr 18, 2017
Practice Location
- Address
- 600 PROFESSIONAL DR
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-7651
- Phone
- (678) 878-4555
Authorized Official
- Name
- DR. AMISH TILARA, MD
- Title
- PRESIDENT
- Phone
- (678) 878-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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