# PRECISION VEIN & VASCULAR OF SC LLC WELSCARE OF THE CAROLINAS

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

## Provider details

- **NPI number:** 1740119080
- **Authorized official:** BRAD LILJENQUIST (OWNER)
- **Authorized official phone:** (864) 813-7910

## Contact information

- **Practice address:** 103 HARTH PL STE A, SUMMERVILLE, SC 29485-8107
- **Practice address phone:** (864) 813-7910
- **Practice address fax:** (864) 813-7911
- **Mailing address:** 1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124-1349
- **Mailing address phone:** (864) 813-7910
- **Mailing address fax:** (864) 813-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 07/01/2026