| NPI | 1457714172 |
|---|---|
| Doing Business As | EVEXIA VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANE TAPPER Owner 601-953-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |