Vein Care Pavilion Of The South

LBN: Vcp South, Llc
Vein Care Pavilion Of The South is an health care organization with primary practice located at 4350 Towne Centre Dr Ste 2000, Evans GA 30809-3301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Vcp South, Llc can be contacted via phone (706) 854-3333, or through Roth, Steven M via phone (706) 854-3333.

Contact Information

Primary practice address
4350 Towne Centre Dr Ste 2000 Evans GA 30809-3301
Phone: (706) 854-3333
Fax: (706) 396-0615
Website:
Map and Directions
Authorized official contact:
Name: Roth, Steven M Doctor of Medicine (MD)
Phone: (706) 854-3333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 048566 Georgia

Profile Details

NPI number 1811937402
LBN Legal business name Vcp South, Llc
DBA Doing business as Vein Care Pavilion Of The South
Authorized official Roth, Steven M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated May 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811937402 NPPES
Georgia Other 985661 BCBS

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