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Contact Information

CENTER FOR VEIN RESTORATION SC LLC
1725 DEVONSHIRE DR
COLUMBIA, SC29204-2404
 Phone: 855-830-8346
 Fax: 240-473-4321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CENTER FOR VEIN RESTORATION SC LLC · (Female)

NPI Number 1295391498
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2019
Last updated 04/30/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0182797
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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