# VCP 2 GREENSBORO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vein Guys
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457165201
- **Authorized official:** MRS. JEWELL HALLIBURTON (REGIONAL PRACTICAL ADMINISTRATOR)
- **Authorized official phone:** (706) 888-1256

## Contact information

- **Practice address:** 1061 PARK DR, GREENSBORO, GA 30642-3465
- **Practice address phone:** (866) 328-8346
- **Practice address fax:** (706) 854-2149
- **Mailing address:** 1109 MEDICAL CENTER DR BLDG 1A, AUGUSTA, GA 30909-6633
- **Mailing address phone:** (706) 888-1256
- **Mailing address fax:** (706) 854-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025