NPI | 1942553359 |
---|---|
Doing Business As | VASCULAR CLINICS OF NORTHEAST GEORGIA |
Entity Type | Organization |
Authorized Contact | MICHAEL H LEBOW Owner 770-535-1948 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 61114) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2013-02-18 |