| NPI | 1104323534 |
|---|---|
| Doing Business As | SOUTHERN VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | TREVOR SPANN Director Of Operations 205-824-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: MS 21400) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |