Comprehensive Vascular Surgery Of Georgia
LBN: Comprehensive Vascular Surgery Of Georgia
Comprehensive Vascular Surgery Of Georgia is an health care organization with primary practice located at 150 Country Club Dr Suite 100, Stockbridge GA 30281-7344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Comprehensive Vascular Surgery Of Georgia can be contacted via phone (770) 474-3882, or through Asche Crowe, Pearl E via phone (770) 474-3882.
Contact Information
Primary practice address
150 Country Club Dr Suite 100
Stockbridge GA 30281-7344
Phone: (770) 474-3882
Fax: (770) 474-9392
Website:
Authorized official contact:
Name: Asche Crowe, Pearl E Physician Assistant (PA)
Phone: (770) 474-3882
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 263703 | Georgia |
Profile Details
| NPI number | 1902864291 |
|---|---|
| LBN Legal business name | Comprehensive Vascular Surgery Of Georgia |
| DBA Doing business as | |
| Authorized official | Asche Crowe, Pearl E Physician Assistant (PA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 28th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902864291 | NPPES |
| Georgia | MEDICAID | 300030828A |
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