# VEIN SPECIALISTS OF THE SOUTH

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

## Provider details

- **NPI number:** 1861760027
- **Authorized official:** DR. KENNETH E HARPER M.D. (OWNER AND PHYSICIAN)
- **Authorized official phone:** (478) 743-2472

## Contact information

- **Practice address:** 556 3RD ST, MACON, GA 31201-7934
- **Practice address phone:** (478) 743-2472
- **Practice address fax:** (478) 743-1516
- **Mailing address:** 556 3RD ST, MACON, GA 31201-7934
- **Mailing address phone:** (478) 743-2472
- **Mailing address fax:** (478) 743-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011