South Atlanta Vascular Institute, Llc

Specialty details in registry · Stockbridge, GA

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At a glance

4045 Mt. Zion Parkway, Stockbridge, GA 30281

NPPES record updated Sep 9, 2026. Public records can lag behind changes at a practice.

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Practice location

4045 Mt. Zion Parkway
Stockbridge, GA 30281

Professional details: NPI, taxonomy & registry record

NPI1063903078

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2086S0129X
Enumeration date: May 24, 2018
Record updated: Sep 9, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2085R0204X

License reported: 70519 GA

Specialty details in registry

2086S0129X · Primary

License reported: 66855 GA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4045 Mt. Zion Parkway
Stockbridge, GA 30281

Phone: (770) 919-5238
Fax: (470) 781-5393

Mailing address

4045 MT. ZION PARKWAY

STOCKBRIDGE, GA 30281

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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