| NPI | 1437484185 |
|---|---|
| Doing Business As | VEIN CARE PAVILION OF ATLANTA |
| Entity Type | Organization |
| Authorized Contact | STEVEN M ROTH Sole Member/President 706-854-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 48566) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 033061) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2012-05-23 |