| 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 |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-09-06 |