OrganizationActive
Advanced Vascular and Vein, PC
NPI 1043174857 · Vascular & Interventional Radiology Physician · Decatur, GA
Provider details
- NPI number
- 1043174857
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley White, Owner(239) 223-9105
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2711 Irvin Way Ste 101
Decatur, GA 30030-5405
Phone: (678) 344-8900
Fax: (678) 666-5201
Approximate (ZIP-level) locationGet directions
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.