| NPI | 1518149350 |
|---|---|
| Doing Business As | THE VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS RUSSELL WIETERS Owner 843-881-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: SC 10486) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-03-19 |