Organization · Type 2 NPI
VCP Raleigh, LLC
Vascular Surgery Physician · Knightdale, NC
NPI number
1639310642
Active
Practice location
6905 Knightdale Blvd Ste 105
Knightdale, NC 27545-6504
Fax (919) 266-0692
Mailing address
4350 Towne Centre Dr, Ste 2000
Evans, GA 30809-3301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 2008-01738 (NC) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1639310642
VCP Raleigh, LLC's National Provider Identifier is 1639310642, issued on Mar 20, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Knightdale, NC. The record was last updated on May 23, 2012.