Victory Vascular & General Surgery Of Georgia Pc

NPI 1851424378 - Surgery - 2086S0129X

NPI Details
NPI 1851424378
Enumeration Date 03/13/2007
Last Updated 01/24/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AZEEZ POPOOLA AZEEZ
Position PRESIDENT
Phone (706) 227-0871
Fax (706) 227-0865
Practice Location
435 HAWTHORNE AVE
#600
ATHENS GA, 30606-2574, US
Phone (706) 227-0871
Fax (706) 227-0865
Business Location
435 HAWTHORNE AVE
#600
ATHENS GA, 30606-2574, US
Phone (706) 227-0871
Fax (706) 227-0865
Toxanomy
Taxonomy Code 2086S0129X
License State Georgia
License Number 040293
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According to our database, Victory Vascular & General Surgery Of Georgia Pc NPI is 1851424378, taxonomy code is 2086S0129X and license number is 040293, license state is located at Georgia. Victory Vascular & General Surgery Of Georgia Pc physically located at 435 Hawthorne Ave, Athens GA, 30606-2574. NPI Number 1033115704 has the healthcare provider type.

1851424378 NPI number is provided on an as is basis without warranty of any kind. 1851424378 is maintained by the National Plan & Provider Enumeration System. The contents of Victory Vascular & General Surgery Of Georgia Pc are for informational purposes only.