Organization
VCP RALEIGH, LLC
Active
Organization
VCP RALEIGH, LLC
Active
Other names
Vein Care Pavilion of Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M ROTH M.D, (SOLE MEMBER/PRESIDENT)
(706) 854-3333
Entity
Organization
Contact information
Practice address
6905 KNIGHTDALE BLVD STE 105, KNIGHTDALE, NC 27545-6504
(919) 266-0696
(919) 266-0692
Mailing address
4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3301
(706) 854-3333
(706) 396-0615
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2008-01738
NC
Other
Enumeration date
03/20/2009
Last updated
05/23/2012
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