Atlanta Cardiac & Vascular Specialist

Organization Active NPI Cardiovascular Disease Physician · Norcross, GA

NPI 1033664768 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1033664768
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
ATLANTA CARDIAC & VASCULAR SPECIALIST
Practice address
4131 Steve Reynolds Blvd
Norcross, GA 30093-3060
Phone
(770) 910-2377
NPI assigned
Aug 23, 2016
Organization subpart
No

Authorized official

Name
Mr. Syed Atif Ali
Title
Practice Manager
Phone
(770) 910-2377

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Atlanta Cardiac Vascular Specialist (2 organizations share this tax ID)

Locations

4131 Steve Reynolds Blvd
Norcross, GA 30093
Phone (770) 910-2377

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X GA Yes

Addresses

Primary practice location

4131 Steve Reynolds Blvd
Norcross, GA 30093-3060

Mailing address

4131 Steve Reynolds Blvd
Norcross, GA 30093-3060
Phone (770) 910-2377

Other providers in Norcross, GA

All providers in Norcross, GA · Cardiovascular Disease Physician in Georgia

Sources for this page

Verify at the official NPI Registry.