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General NPI Number Information
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NPI Number | 1013853043
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Entity Type | Organization
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Legal Business Name | META HEATLH & VASCULAR LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 11050 CRABAPPLE RD STE 105B
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City | ROSWELL
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State | GA
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Zip | 30075-2456
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Country | US
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Telephone | 317-679-7868
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Fax |
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Provider Business Mailing Address
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Address Line | 2496 OOSTANAULA DR NE
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City | BROOKHAVEN
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State | GA
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Zip | 30319-3522
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Country | US
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Telephone | 317-679-7868
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | WALAYA CHIYEM METHODIUS-RAYFORD
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Credential | MD, MBA, CWSP, RPVI
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Telephone | 317-679-7868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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