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Organization
VCP2 AUGUSTA PC
Active
Organization
VCP2 AUGUSTA PC
Active
Other names
Vein Guys Augusta PC
Organization subpart
No
Provider details
NPI number
Authorized official
JEWELL HALLIBURTON (REGIONAL PRACTICE MANAGER)
(706) 854-3333
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3331
(706) 854-3333
(706) 854-2149
Mailing address
4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3331
(706) 854-3333
(706) 854-2149
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
06/19/2023
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