# UNIVERSITY HEALTH CARE PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY HEALTH CARE PHYSICIANS LLC
- **Other names:** University Physicians Vascular Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073834131
- **Legal business name:** UNIVERSITY HEALTH CARE PHYSICIANS LLC
- **Authorized official:** MELODY THOMPSON FACHE, CMPE (VICE PRESIDENT PHYSICIAN SERVICES)
- **Authorized official phone:** (706) 774-7720

## Contact information

- **Practice address:** 1350 WALTON WAY, AUGUSTA, GA 30901-2612
- **Practice address phone:** (706) 774-7022
- **Practice address fax:** (706) 774-7023
- **Mailing address:** PO BOX 1705, AUGUSTA, GA 30903-1705
- **Mailing address phone:** (706) 774-7263
- **Mailing address fax:** (706) 774-7230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 06/11/2010