Southeast Atlanta Vascular Care, LLC

NPI #1912594581 in Lithonia, Georgia

Provider Information

NPI Number: 1912594581
Entity Type: Organization
Organization Name: Southeast Atlanta Vascular Care, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEAST ATLANTA VASCULAR CARE, LLC
Primary Specialty: General Acute Care Hospital - Critical Access
Enumeration Date: Dec 29, 2020
Last Updated: Dec 29, 2020

Practice Location

Address: 5461 HILLANDALE DR STE 210
City: Lithonia
State: Georgia
ZIP Code: 30058-4842
Phone: (239) 597-2010

Authorized Official

Name: LISA MCNAMARA
Title: CFO
Phone: (239) 597-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital - Critical Access — Critical Access	282NC0060X	Primary

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