Organization
VCP NASHVILLE, LLC
Active
Parent organization
VCP NASHVILLE, LLC
Other names
Vein Care Pavilion of Nashville
Organization subpart
Yes
Provider details
NPI number
Legal business name
VCP NASHVILLE, LLC
Authorized official
DR. KEITH L DAVIS M.D. (PARTNER)
(706) 854-3333
Entity
Organization
Contact information
Practice address
278 FRANKLIN RD, BRENTWOOD, TN 37027-5224
(615) 329-0029
(615) 327-8524
Mailing address
447 N BELAIR RD, SUITE 103, EVANS, GA 30809-3090
(706) 854-3333
(706) 854-2059
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
21108
TN
208200000X
Plastic Surgery Physician
26844
TN
2086S0129X
Vascular Surgery Physician
Primary
43956
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3370314
MEDICARE GROUP PTAN
TN
Enumeration date
10/09/2008
Last updated
10/13/2008
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