Organization
CAROLINA SURGERY VEIN CLINIC LLC
Active
Other names
Legacy Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MALLETTE WOODS (OFFICE MANAGER)
(803) 547-6800
Entity
Organization
Contact information
Practice address
127 BEN CASEY DR STE 106, FORT MILL, SC 29708
(803) 547-6800
(803) 547-6801
Mailing address
127 BEN CASEY DR STE 106, FORT MILL, SC 29708-6600
(803) 547-6800
(803) 547-6801
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
05/02/2019
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