| NPI | 1982661690 |
|---|---|
| Doing Business As | VEIN CLINIC OF NORTH CAROLINA |
| Entity Type | Organization |
| Authorized Contact | DANA CAPPS MOODY Practice Administrator 336-768-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-08-17 |