Unknown Individual – Vascular Surgery Physician, NPI 1962491050
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
790, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 570
MARIETTA, GA 300607282
Phone: (770) 428-0462
Fax: (770) 427-8001
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30060)
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