Organization
WAYNE HEALTH VASCULAR AND VEIN CENTER LLC
Active
Organization
WAYNE HEALTH VASCULAR AND VEIN CENTER LLC
Active
Parent organization
WAYNE HEALTH PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE HEALTH PHYSICIANS
Authorized official
MR. CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR)
(919) 587-4081
Entity
Organization
Contact information
Practice address
208 COX BLVD, SUITE 201, GOLDSBORO, NC 27534-9414
(919) 587-3333
(919) 587-3334
Mailing address
208 COX BLVD, SUITE 201, GOLDSBORO, NC 27534-9414
(919) 587-3333
(919) 587-3334
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
200201214
NC
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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