| NPI | 1932167269 |
|---|---|
| Doing Business As | VASCULAR INSITUTE OF GEORIGA, PC |
| Entity Type | Organization |
| Authorized Contact | MARK J MITTENTHAL Physician 404-256-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |