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Organization

CAROLINA VEIN ASSOCIATES, PLLC

Active
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Organization

CAROLINA VEIN ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD R HANSEN MD (PARTNER)
(704) 798-7251
Entity
Organization

Contact information

Practice address
206 JOE V. KNOX AVENUE, SUITE H, MOORESVILLE, NC 28117-7912
(704) 798-7251
Mailing address
206 JOE V. KNOX AVENUE, SUITE H, MOORESVILLE, NC 28117-7912
(704) 798-7251

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
207P00000X
Emergency Medicine Physician

Other

Enumeration date
12/18/2013
Last updated
06/17/2014
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