Organization
MIDATLANTIC VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA N SCHWARZKOPF (GENERAL MANAGER)
(757) 333-2066
Entity
Organization
Contact information
Practice address
4036 RIVER OAKS DR, UNIT B2, MYRTLE BEACH, SC 29579-6695
(757) 333-2066
Mailing address
1415 EASTRIDGE RD, RICHMOND, VA 23229-5501
(757) 333-2066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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