Healthcare Provider Details

I. General information

NPI: 1730601865
Provider Name (Legal Business Name): SNAPFINGER VASCULAR ACCESS CENTER ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5246 SNAPFINGER PARK DR
DECATUR GA
30035-4044
US

IV. Provider business mailing address

PO BOX 419864
BOSTON MA
02241-9864
US

V. Phone/Fax

Practice location:
  • Phone: 678-533-6120
  • Fax:
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGG ARTHUR MILLER
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 717-515-4048