NPI 1093683179

Center for Vein Restoration Ga Corp

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Valdosta, GA

Practice location

Address: 3338 Country Club Rd STE M, Valdosta, GA 31605-1045
Phone: (855) 830-8346
Mailing address: 7474 Greenway Center Dr STE 1000, Greenbelt, MD 20770-3500

Authorised official

Name: Lorena Thomas
Title: Cred Manager
Phone: (815) 254-1761

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1093683179
Entity type: Organization
NPI issued: 29 Oct 2025
Record last updated: 29 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.