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1407102429
MIDATLANTIC VASCULAR, LLC
MYRTLE BEACH, SC
NPI
1407102429
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Entity Type
Organization
Authorized Contact
ANGELA N SCHWARZKOPF
General Manager
757-333-2066
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2012-07-27
Last Update Date
2012-07-27
Business Address
MIDATLANTIC VASCULAR, LLC
4036 RIVER OAKS DR UNIT B2
MYRTLE BEACH, SC 29579-6695
Phone number: 757-333-2066
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Mailing Address
MIDATLANTIC VASCULAR, LLC
1415 EASTRIDGE RD
RICHMOND, VA 23229-5501
Phone number: 757-333-2066
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