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MIDATLANTIC VASCULAR LLC NPI 1407102429


NPI Information

NPI: 1407102429
Provider Name: MIDATLANTIC VASCULAR, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4036 RIVER OAKS DR
UNIT B2
MYRTLE BEACH, SC
ZIP 29579
Phone: (757) 333-2066
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MIDATLANTIC VASCULAR, LLC is a clinic center in Myrtle Beach, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIDATLANTIC VASCULAR, LLC NPI is 1407102429. The provider is registered as an organization entity type.

The provider's business location address is:

4036 RIVER OAKS DR
UNIT B2
MYRTLE BEACH, SC
ZIP 29579-695
Phone: (757) 333-2066

The provider's authorized official is Angela N Schwarzkopf .
The authorized official title is General Manager and has the following contact phone number (757) 333-2066.

The enumeration date for this NPI number is 7/27/2012 and was last updated on 7/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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