| NPI | 1144880782 |
|---|---|
| Doing Business As | CMG VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LARKIN Payer Credentialing Manager 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |