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  • 110246
CCN: 110246 NPI: 1689195786 Organization

SOUTHEAST ATLANTA VASCULAR CARE, LLC

5461 HILLANDALE DR STE 210
LITHONIA, GA 300584842

Contact Information

  • Phone 7709818477
  • Fax 7709818477
  • Enumeration Date 2017-06-29
  • Last Updated 2026-02-05

Taxonomies

  • Code: 261QA1903X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.224
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.224
hhrAdjustment 1.0
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.224

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.165
specialPaymentIndicator 1
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.165
specialPaymentIndicator 1
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.165
specialPaymentIndicator 1
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 12060
providerType 00
operatingCostToChargeRatio 0.165
specialPaymentIndicator 1
carrierCode 10212
localityCode 01

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