| NPI | 1861568040 |
|---|---|
| Doing Business As | VASCULAR DISEASE INSTITUTE, PC |
| Entity Type | Organization |
| Authorized Contact | AMY D SEABOLT Business Office Manager 770-534-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: GA 035736) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 050992) |
| 208600000X Surgery (Licence: GA 059108) | |
| 363L00000X Nurse Practitioner (Licence: GA RN171688NP) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-07-10 |