Organization
THE VEIN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REMBERT NEAL REYNOLDS M.D. (PHYSICIAN)
(803) 253-8667
Entity
Organization
Contact information
Practice address
1725 DEVONSHIRE DR, COLUMBIA, SC 29204-2404
(803) 253-8667
(803) 253-8670
Mailing address
1725 DEVONSHIRE DR, COLUMBIA, SC 29204-2404
(803) 253-8667
(803) 253-8670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9552
SC
Other
Enumeration date
06/25/2007
Last updated
04/12/2010
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