Endovascular Therapy and Vascular Surgery of Ga

NPI #1861647414 in Acworth, Georgia

Provider Information

NPI Number: 1861647414
Entity Type: Organization
Organization Name: Endovascular Therapy and Vascular Surgery of Ga
Primary Specialty: Specialist
Enumeration Date: Nov 24, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 4450 CALIBRE CROSSING SUITE 1122
Address 2: GOVERNORS PAVILION BLDG
City: Acworth
State: Georgia
ZIP Code: 30101-0000
Phone: (850) 267-1040

Authorized Official

Name: DR. MARTIN CARIGNAN, M.D.
Title: MEDICAL DOCTOR
Phone: (850) 267-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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