NPI | 1871715342 |
---|---|
Doing Business As | VEIN CLINIC OF NC |
Entity Type | Organization |
Authorized Contact | DANA CAPPS MOODY Practice Administrator 336-768-3530 |
Organization Subpart ? | Yes |
Primary Taxonomy | 202K00000X (Licence: NC 1991-34813) |
Additional Taxonomies | 202K00000X (Licence: NC 22664) |
208600000X Surgery (Licence: NC 17432) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 34813) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2022-08-17 |