Provider Demographics
NPI:1477883338
Name:SNAPFINGER VASCULAR ACCESS CENTER LLC
Entity Type:Organization
Organization Name:SNAPFINGER VASCULAR ACCESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-369-1444
Mailing Address - Street 1:PO BOX 418419
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8419
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:5246 SNAPFINGER PARK DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4044
Practice Address - Country:US
Practice Address - Phone:678-533-6120
Practice Address - Fax:770-323-2866
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTA NEPHROLOGY REFERRAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-28
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center