VCP 2 Atlanta PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VCP 2 ATLANTA PC

Doing business as

Vein Guys Atlanta

Practice address

3390 Peachtree Rd NE
Ste 425
Atlanta, GA 30326-1157

Phone

(404) 846-2440

Fax

(706) 854-2149

NPI assigned

Nov 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelly Vann

Title

Ceo

Phone

(706) 854-2138

Specialties & licenses 1

Addresses

Other names 1

• Vein Guys Atlanta Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1528497484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "SUITE 2000B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-854-3333",
            "fax_number": "706-854-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261157",
            "telephone_number": "404-846-2440",
            "fax_number": "706-854-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCP 2 ATLANTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-854-2138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Guys Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cinthya Vazquez, M.S
• John Vazquez, M.D.
• Kimberly Crystle Vazquez, O.D.
• Valeria Vazquez
• VBDC of Woodstock, LLC
• VCP Atlanta, LLC
• VDS Surgical Assistants, Inc.
• Brian David Veal, DC
• Detavius Veal
• Lindsey Veal Jr., LPC

• Vascular Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.