# FAIRHOPE VEIN TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205251618
- **Authorized official:** DR. RODNEY ALLEN SIRK MD (OWNER)
- **Authorized official phone:** (334) 618-2237

## Contact information

- **Practice address:** 341 GREENO RD N, FAIRHOPE, AL 36532-2979
- **Practice address phone:** (334) 618-2237
- **Mailing address:** 341 GREENO RD N, FAIRHOPE, AL 36532-2979
- **Mailing address phone:** (334) 618-2237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 30273 | AL | Yes |

## Other

- **Enumeration date:** 02/20/2014
- **Last updated:** 02/20/2014