# PALMETTO VEIN & AESTHETIC CENTER PA

> 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:** 1720205529
- **Authorized official:** PAUL M ESPINOZA MD (PHYSICIAN)
- **Authorized official phone:** (803) 359-8346

## Contact information

- **Practice address:** 4715 SUNSET BLVD, SUITE C, LEXINGTON, SC 29072-9151
- **Practice address phone:** (803) 359-8346
- **Practice address fax:** (803) 359-0978
- **Mailing address:** 4715 SUNSET BLVD, SUITE C, LEXINGTON, SC 29072-9151
- **Mailing address phone:** (803) 359-8346
- **Mailing address fax:** (803) 359-0978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 03/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4726 | — | SC |