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Organization
CAROLINA SURGERY VEIN CLINIC LLC
Active
Organization
CAROLINA SURGERY VEIN CLINIC LLC
Active
Other names
Legacy Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MALLETTE WOODS (OFFICE MANAGER)
(803) 547-6800
Entity
Organization
Contact information
Practice address
127 BEN CASEY DR STE 106, FORT MILL, SC 29708
(803) 547-6800
(803) 547-6801
Mailing address
127 BEN CASEY DR STE 106, FORT MILL, SC 29708-6600
(803) 547-6800
(803) 547-6801
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/09/2018
Last updated
05/02/2019
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