# BEST VEIN CARE OF MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Vein Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104323534
- **Authorized official:** TREVOR SPANN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (205) 824-6250

## Contact information

- **Practice address:** 204 W JACKSON ST STE A, RIDGELAND, MS 39157-2310
- **Practice address phone:** (601) 291-5291
- **Mailing address:** 1 CHASE CORPORATE DR STE 200, HOOVER, AL 35244-7060
- **Mailing address phone:** (205) 824-6250
- **Mailing address fax:** (205) 824-6251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 21400 | MS | Yes |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 04/11/2018
