Organization
AIKEN VEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEEMS R. PENNINGTON III M.D. (HEALTHCARE PROVIDER)
(706) 840-5277
Entity
Organization
Contact information
Practice address
137 MIRACLE DR, AIKEN, SC 29801-6351
(803) 641-4874
(803) 641-1669
Mailing address
137 MIRACLE DR, AIKEN, SC 29801-6351
(803) 641-4874
(803) 641-1669
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22253
SC
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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