Dr. Louis G Prevosti
Cardiothoracic Vascular Surgeon
1100 Johnson Ferry Rd Ne Suite 165
Atlanta
, Georgia 30342-1709
Dr. Louis G Prevosti
Cardiothoracic Vascular Surgeon
1100 Johnson Ferry Rd Ne Suite 165
Atlanta
, Georgia 30342-1709
(404) 446-2809
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Louis G Prevosti
- 1100 Johnson Ferry Rd Ne Suite 165
- Atlanta, GA
- Zip : 30342-1709
- Fax : (404) 446-2809
- Phone : (404) 446-2800
Second Address
- Dr. Louis G Prevosti
- 1100 Johnson Ferry Rd Ne Suite 165
- Atlanta, GA
- Zip : 30342-1709
- Fax : (404) 446-2809
- Phone : (404) 446-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 034923 | GA |
National Provider Identifier
| NPI | 1063477222 |
|---|---|
| Provider Name | Dr. Louis G Prevosti |
| First Address | Atlanta, GA 30342-1709 |
| Second Address | Atlanta, GA 30342-1709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 25/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000469994F | (05) | GA |
| 330005751 | RR MEDICARE (01) | GA |
| 610271 | BCBS EDI (01) | GA |
| E93181 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.