Organization
CAROLINA VASCULAR SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN VINCENT TAORMINA MD (OWNER)
(803) 985-4000
Entity
Organization
Contact information
Practice address
1721 EBENEZER RD, SUITE 115, ROCK HILL, SC 29732-4103
(803) 985-4000
(803) 985-4006
Mailing address
1721 EBENEZER RD, SUITE 115, ROCK HILL, SC 29732-4103
(803) 985-4000
(803) 985-4006
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
23865
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3758
—
SC
Enumeration date
12/19/2006
Last updated
07/26/2012
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