Vascular Clinic Of Northwest Georgia, Llc

LBN: The Vascular Clinic Llc
Vascular Clinic Of Northwest Georgia, Llc is an health care organization with primary practice located at 102 Gross Crescent Cir Suite 204, Ft Oglethorpe GA 30742-3600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. The Vascular Clinic Llc can be contacted via phone (706) 858-0204, or through Saaka, Michael B via phone (706) 858-0204.

Contact Information

Primary practice address
102 Gross Crescent Cir Suite 204 Ft Oglethorpe GA 30742-3600
Phone: (706) 858-0204
Fax: (706) 858-0225
Website:
Map and Directions
Authorized official contact:
Name: Saaka, Michael B
Phone: (706) 858-0204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1861439614
LBN Legal business name The Vascular Clinic Llc
DBA Doing business as Vascular Clinic Of Northwest Georgia, Llc
Authorized official Saaka, Michael B
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861439614 NPPES
Tennessee Other 4176994 TENNESSE BLUE SHIELD
Tennessee MEDICAID 143447302A TENNESSE BLUE SHIELD
Tennessee MEDICAID 3734225 TENNESSE BLUE SHIELD

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