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NPI 1477883338

NPI 1477883338 : SNAPFINGER VASCULAR ACCESS CENTER LLC : DECATUR, GA

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General NPI Number Information
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    NPI Number           |    1477883338
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    Entity Type          |    Organization 
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    Legal Business Name  |    SNAPFINGER VASCULAR ACCESS CENTER LLC 
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Dates
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    Enumeration Date     |    12/28/2009
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    5246 SNAPFINGER PARK DR 
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30035-4044
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    Country              |    US
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    Telephone            |    678-533-6120
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    Fax                  |    770-323-2866
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Provider Business Mailing Address
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    Address Line         |    PO BOX 418419 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02241-8419
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    Country              |    US
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    Telephone            |    610-644-8900
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    Fax                  |    484-924-0053
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |    DR. GREGG ARTHUR MILLER 
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    Credential           |    MD
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    Telephone            |    717-515-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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