NPI | 1598037822 |
---|---|
Former Legal Business Name | PREFERRED VASCULAR SERVICES OF GEORGIA, LLC |
Entity Type | Organization |
Authorized Contact | LISA A MCNAMARA CFO 239-597-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2012-02-01 |
Last Update Date | 2022-09-06 |