Organization
PALMETTO VEIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MCCARDLE RN (NURSE MANAGER)
(843) 820-5372
Entity
Organization
Contact information
Practice address
9313 MEDICAL PLAZA DR, STE 303, CHARLESTON, SC 29406-9155
(843) 820-5372
(843) 824-8359
Mailing address
9263 MEDICAL PLAZA DR, STE B, CHARLESTON, SC 29406-7112
(843) 553-7070
(843) 553-2223
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
6391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5265
—
SC
Enumeration date
06/08/2009
Last updated
12/04/2009
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