# VCP ATLANTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vein Care Pavilion of Atlanta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437484185
- **Authorized official:** STEVEN M ROTH MD (SOLE MEMBER/PRESIDENT)
- **Authorized official phone:** (706) 854-2138

## Contact information

- **Practice address:** 3390 PEACHTREE RD NE, STE 425, ATLANTA, GA 30326-1157
- **Practice address phone:** (404) 846-2460
- **Practice address fax:** (404) 846-2440
- **Mailing address:** 4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3301
- **Mailing address phone:** (706) 854-3333
- **Mailing address fax:** (706) 396-0615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 033061 | GA | — |
| 2086S0129X | Vascular Surgery Physician | 48566 | GA | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 05/23/2012