| NPI | 1184060717 |
|---|---|
| Doing Business As | STATESVILLE VASCULAR INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-01-14 |