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VCP ATLANTA LLC NPI 1437484185


NPI Information

NPI: 1437484185
Provider Name: VCP ATLANTA, LLC

Doing Business As: VEIN CARE PAVILION OF ATLANTA

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3390 PEACHTREE RD NE
STE 425
ATLANTA, GA
ZIP 30326
Phone: (404) 846-2460
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VCP ATLANTA, LLC is a vascular surgery surgery in Atlanta, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VCP ATLANTA, LLC NPI is 1437484185. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vein Care Pavilion Of Atlanta.

The provider's business location address is:

3390 PEACHTREE RD NE
STE 425
ATLANTA, GA
ZIP 30326-157
Phone: (404) 846-2460
Fax: (404) 846-2440

The provider's authorized official is Steven M Roth .
The authorized official title is Sole Member/president and has the following contact phone number (706) 854-2138.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 5/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery033061GEORGIANo
22086S0129XSurgeryVascular Surgery48566GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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