# VCP SOUTH, LLC

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

## Provider details

- **NPI number:** 1811937402
- **Authorized official:** STEVEN M ROTH M.D. (SOLE MEMBER/PRESIDENT)
- **Authorized official phone:** (706) 854-3333

## Contact information

- **Practice address:** 4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3301
- **Practice address phone:** (706) 854-3333
- **Practice address fax:** (706) 396-0615
- **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 |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 048566 | GA | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 05/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 985661 | BCBS | GA |