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Organization
INTERNATIONAL VEIN INSTITUTE, LLC
Active
Organization
INTERNATIONAL VEIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY ADAMS PEARSON MD (MEMBER)
(912) 756-3005
Entity
Organization
Contact information
Practice address
2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
(912) 756-3005
(912) 756-5921
Mailing address
2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
(912) 756-3005
(912) 756-5921
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
47638
GA
Other
Enumeration date
10/08/2011
Last updated
10/08/2011
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