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Contact Information

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
1653 POPLAR AVE
MEMPHIS, TN38104-2511
 Phone: 901-390-2930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Family

363LF0000X 50 Nurse Practitioner
 

Podiatrist

213E00000X 48 Podiatry
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

NPI Number 1073396453
LBN Legal business name VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Authorized official DEONA DEICKE - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/17/2023
Last updated 08/17/2023 - About 3 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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