# INTERNATIONAL VEIN INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1700160793
- **Authorized official:** DR. AMY ADAMS PEARSON MD (MEMBER)
- **Authorized official phone:** (912) 756-3005

## Contact information

- **Practice address:** 2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
- **Practice address phone:** (912) 756-3005
- **Practice address fax:** (912) 756-5921
- **Mailing address:** 2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
- **Mailing address phone:** (912) 756-3005
- **Mailing address fax:** (912) 756-5921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 47638 | GA | Yes |

## Other

- **Enumeration date:** 10/08/2011
- **Last updated:** 10/08/2011