OrganizationActive
Center for Vein Restoration Ga Corp
NPI 1093683179 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Valdosta, GA
Provider details
- NPI number
- 1093683179
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lorena Thomas, Cred Manager(815) 254-1761
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3338 Country Club Rd Ste M
Valdosta, GA 31605-1045
Phone: (855) 830-8346
Approximate (ZIP-level) locationGet directions
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.