| NPI | 1679396907 |
|---|---|
| Doing Business As | VEIN GUYS |
| Entity Type | Organization |
| Authorized Contact | JEWELL HALLIBURTON Regional Practice Administrator 706-888-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-12-10 |