# NUVENA VEIN CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679061469
- **Authorized official:** CLIFFORD C ADAMS III MD (OWNER)
- **Authorized official phone:** (601) 506-3366

## Contact information

- **Practice address:** 120 FOUNTAINS BLVD, MADISON, MS 39110
- **Practice address phone:** (601) 667-4405
- **Practice address fax:** (601) 667-4406
- **Mailing address:** 107 ROSEDOWNE BEND, MADISON, MS 39110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 13236 | MS | Yes |
| 207L00000X | Anesthesiology Physician | — | MS | — |

## Other

- **Enumeration date:** 04/26/2018
- **Last updated:** 04/26/2018