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Organization
VCP ATLANTA, LLC
Active
Organization
VCP ATLANTA, LLC
Active
Other names
Vein Care Pavilion of Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M ROTH MD (SOLE MEMBER/PRESIDENT)
(706) 854-2138
Entity
Organization
Contact information
Practice address
3390 PEACHTREE RD NE, STE 425, ATLANTA, GA 30326-1157
(404) 846-2460
(404) 846-2440
Mailing address
4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3301
(706) 854-3333
(706) 396-0615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
033061
GA
2086S0129X
Vascular Surgery Physician
Primary
48566
GA
Other
Enumeration date
10/14/2009
Last updated
05/23/2012
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