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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 Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Vascular-Interventional Technology Radiologic Technologist

2471V0106X
Indicates primary specialty

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

NPI Number 1134615396
LBN Legal business name CAROLINA VEIN CARE AND AESTHETICS, LLC
Authorized official MARK JACKSON - (OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/10/2018
Last updated 10/30/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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