| NPI | 1134615396 |
|---|---|
| Doing Business As | CAROLINA VEIN CARE AESTHETICS, LLC |
| Entity Type | Organization |
| Authorized Contact | MARK R JACKSON Officer 864-918-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2471V0106X Radiologic Technologist, Vascular-Interventional Technology |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-10-30 |