Organization
LEGACY VEIN CENTER PLLC
Active
Organization
LEGACY VEIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER REECE (DIRECTOR OF OPERATIONS)
(423) 956-2682
Entity
Organization
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 103, JOHNSON CITY, TN 37604-6063
(423) 328-0163
(423) 491-8109
Mailing address
310 N STATE OF FRANKLIN RD STE 103, JOHNSON CITY, TN 37604-6063
(423) 328-0163
(423) 491-8109
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/14/2014
Last updated
07/12/2023
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