Provider Demographics
NPI:1891088365
Name:VG GROUP INC
Entity Type:Organization
Organization Name:VG GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-756-4791
Mailing Address - Street 1:2217 MATTHEWS TOWNSHIP PKWY
Mailing Address - Street 2:SUITE D 247
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4815
Mailing Address - Country:US
Mailing Address - Phone:704-756-4791
Mailing Address - Fax:704-919-5099
Practice Address - Street 1:2217 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:SUITE D 247
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4815
Practice Address - Country:US
Practice Address - Phone:704-756-4791
Practice Address - Fax:704-919-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center