Organization
UNIVERSITY HEALTH CARE PHYSICIANS LLC
Active
Parent organization
UNIVERSITY HEALTH CARE PHYSICIANS LLC
Other names
University Physicians Vascular Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY HEALTH CARE PHYSICIANS LLC
Authorized official
MELODY THOMPSON FACHE, CMPE (VICE PRESIDENT PHYSICIAN SERVICES)
(706) 774-7720
Entity
Organization
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-7022
(706) 774-7023
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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