NPI: 1134615396
Provider Name: CAROLINA VEIN CARE AND AESTHETICS, LLC
Doing Business As: CAROLINA VEIN CARE AESTHETICS, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
CLIA Number: 42D2269193
Address:
103 S VENTURE DR STE B
GREENVILLE, SC
ZIP 29615
Phone: (864) 918-1911
Get Directions
CAROLINA VEIN CARE AND AESTHETICS, LLC is a vascular surgery surgery in Greenville, SC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CAROLINA VEIN CARE AND AESTHETICS, LLC NPI is 1134615396. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolina Vein Care Aesthetics, Llc.
The provider's business location address is:
103 S VENTURE DR STE B
GREENVILLE, SC
ZIP 29615-571
Phone: (864) 918-1911
The provider's authorized official is Mark R Jackson .
The authorized official title is Officer and has the following contact phone number (864) 918-1911.
The CLIA number assigned to this NPI record is 42D2269193 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/10/2018 and was last updated on 10/30/2018.