| NPI | 1700905593 |
|---|---|
| Doing Business As | THE VEIN CLINIC AND MEDISPA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM (BILL) H MOSES Owner 478-275-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-01 |