| NPI | 1720255532 |
|---|---|
| Doing Business As | VEIN CARE PAVILION OF NASHVILLE |
| Entity Type | Organization |
| Authorized Contact | STEVEN M ROTH Sole Member/President 706-854-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TN 43956) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TN 26844) |
| 208200000X Plastic Surgery (Licence: TN 21108) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-05-23 |