OrganizationActive
Atlanta Vascular and Vein Center, LLC
NPI 1538546114 · Medical Specialty Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1538546114
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amish Tilara, President(973) 632-8372
Specialties & taxonomies
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Practice location
600 Professional Dr
Suite 160a
Lawrenceville, GA 30046-7651
Phone: (973) 632-8372
Approximate (ZIP-level) locationGet directions
Mailing address
1873 Royal Troon Ct
Duluth, GA 30097-5234
Registry dates
- Enumerated
- 2015-05-02
- Last updated
- 2015-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.