MEDICARE: VPG 1, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1457518581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPG 1, LLC

Provider Business Mailing Address
First Line	:	300 VILLAGE GREEN CIR SE
Second Line	:	SUITE 200
City	:	SMYRNA
State	:	GA
Zip	:	30080-3476
Country	:	US
Telephone Number	:	770-384-0284
Fax Number	:	404-446-1957

Provider Business Practice Location Address
First Line	:	300 VILLAGE GREEN CIR SE
Second Line	:	SUITE 200
City	:	SMYRNA
State	:	GA
Zip	:	30080-3476
Country	:	US
Telephone Number	:	770-384-0284
Fax Number	:	404-446-1957

Authorized Official
Title or Position	:	CEO
Name	:	DAVID N HELFMAN
Credential	:	DPM
Telephone Number	:	770-384-0284

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/16/2008

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