Organization Name: | THE VASCULAR CLINIC LLC |
NPI Number: | 1861439614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL B SAAKA (OWNER) |
Mailing Address: | 102 Gross Crescent Cir Suite 204 Ft Oglethorpe |
State: | GA US |
Postal Code: | 307423600 |
Phone Number: | 7068580204 |
Fax Number: | 7068580225 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |