OrganizationActive
Genesis Vascular of Pooler, LLC
NPI 1376930339 · Interventional Cardiology Physician · Pooler, GA
Provider details
- NPI number
- 1376930339
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesis Global Healthcare
- Organization subpart
- Yes
- Authorized official
- James O'Dare, Principal(856) 335-5025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Practice location
1000 Towne Center Blvd
Building 400
Pooler, GA 31322-4052
Phone: (912) 662-0223
Fax: (912) 662-0224
Approximate (ZIP-level) locationGet directions
Mailing address
575 N Route 73
West Berlin, NJ 08091-9289
Other names (DBA / former)
- Other name
- Gv of Pooler
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.