Organization
VCP NASHVILLE, LLC
Active
Other names
Vein Care Pavilion of Nashville
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M ROTH M.D. (SOLE MEMBER/PRESIDENT)
(706) 854-3333
Entity
Organization
Contact information
Practice address
2222 STATE ST, STE 200B-1, NASHVILLE, TN 37203-1845
(615) 329-0029
Mailing address
4350 TOWNE CENTRE DR, STE 2000, EVANS, GA 30809-3301
(706) 854-3333
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
05/12/2008
Last updated
05/23/2012
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