# VRA PHYSICIANS III LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497624332
- **Authorized official:** WILLIAM BRUCE TANNEHILL (DEN)
- **Authorized official phone:** (706) 651-6105

## Contact information

- **Practice address:** 3651 WHEELER RD, AUGUSTA, GA 30909-6521
- **Practice address phone:** (706) 651-3232
- **Mailing address:** 1125 TROUPE STREET, AUGUSTA, GA 30904-4480
- **Mailing address phone:** (706) 667-7450
- **Mailing address fax:** (706) 731-5289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 10/30/2025
- **Last updated:** 08/10/2026