OrganizationActive
Heritage Medical Management Group LLC
NPI 1710858592 · Vascular Surgery Physician · Bremen, GA
Provider details
- NPI number
- 1710858592
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steve Odeh, Ceo(404) 242-9621
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
507 Alabama Ave S
Bremen, GA 30110-2007
Phone: (404) 755-2291
Fax: (732) 347-3388
Approximate (ZIP-level) locationGet directions
Mailing address
507 Alabama Ave S
Bremen, GA 30110-2007
Additional practice locations (1)
- 777 Cleveland Ave SwAtlanta, GA 30315-7129Phone: (404) 755-2291Fax: (732) 347-3388
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.