Organization
COLUMBIA VEIN AND AESTHETIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS ROY ANDERSON MD (PRESIDENT)
(803) 732-2554
Entity
Organization
Contact information
Practice address
9820 QUEENSWAY BLVD, SUITE 1210, MYRTLE BEACH, SC 29572-5232
(803) 732-2554
Mailing address
132 WESTBURY PL, COLUMBIA, SC 29212-8351
(803) 732-2554
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9529
SC
Other
Enumeration date
10/24/2007
Last updated
01/26/2017
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