National Provider Identifier Database

CAROLINA VEIN CARE AND AESTHETICS LLC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

CAROLINA VEIN CARE AND AESTHETICS, LLC
103 S VENTURE DR STE B
GREENVILLE, SC29615-3571
Phone: 864-918-1911
Fax:
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Vascular-Interventional Technology Radiologic Technologist 2471V0106X

* Indicates primary specialty

NPI Profile & details for CAROLINA VEIN CARE AND AESTHETICS, LLC

NPI Number 1134615396
Legal business name
LBN
CAROLINA VEIN CARE AND AESTHETICS, LLC
Authorized official MARK JACKSON - (OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 07/10/2018
Last updated 10/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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