Provider Demographics
NPI:1770696965
Name:PIEDMONT VASCULAR ASSOCIATES, P.C.
Entity type:Organization
Organization Name:PIEDMONT VASCULAR ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MELL
Authorized Official - Last Name:BATTEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-351-9741
Mailing Address - Street 1:35 COLLIER RD NW
Mailing Address - Street 2:SUITE 185
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1613
Mailing Address - Country:US
Mailing Address - Phone:404-351-9741
Mailing Address - Fax:404-351-1945
Practice Address - Street 1:35 COLLIER RD NW
Practice Address - Street 2:SUITE 185
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1613
Practice Address - Country:US
Practice Address - Phone:404-351-9741
Practice Address - Fax:404-351-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0243882086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP5066Medicare PIN