OrganizationActive
Advanced Vascular and Vein, PC
NPI 1174487995 · Vascular & Interventional Radiology Physician · Decatur, GA
Provider details
- NPI number
- 1174487995
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Bradley White, Owner
Practice location
2711 Irvin Way Ste 102
Decatur, GA 30030-5405
Phone: (678) 344-8900
Fax: (678) 666-5201
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 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.