# AIKEN VEIN

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

## Provider details

- **NPI number:** 1205256989
- **Authorized official:** DR. WEEMS R. PENNINGTON III M.D. (HEALTHCARE PROVIDER)
- **Authorized official phone:** (706) 840-5277

## Contact information

- **Practice address:** 137 MIRACLE DR, AIKEN, SC 29801-6351
- **Practice address phone:** (803) 641-4874
- **Practice address fax:** (803) 641-1669
- **Mailing address:** 137 MIRACLE DR, AIKEN, SC 29801-6351
- **Mailing address phone:** (803) 641-4874
- **Mailing address fax:** (803) 641-1669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 22253 | SC | Yes |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 04/22/2014