Organization
CAROLINA VEIN CARE AND AESTHETICS, LLC
Active
Parent organization
CAROLINA VEIN CARE AND AESTHETICS, LLC
Other names
Carolina Vein Care Aesthetics, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA VEIN CARE AND AESTHETICS, LLC
Authorized official
MARK R JACKSON MD (OFFICER)
(864) 918-1911
Entity
Organization
Contact information
Practice address
103 S VENTURE DR STE B, GREENVILLE, SC 29615-3571
(864) 918-1911
Mailing address
103 S VENTURE DR STE B, GREENVILLE, SC 29615-3571
(864) 918-1911
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
Other
Enumeration date
07/10/2018
Last updated
10/30/2018
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