Organization
COSMETIC VEIN CENTERS OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T MACMILLAN M.D (OWNER)
(540) 552-8346
Entity
Organization
Contact information
Practice address
1901 S MAIN ST, SUITE 2, BLACKSBURG, VA 24060-6600
(540) 552-8346
(540) 951-8346
Mailing address
1901 S MAIN ST, SUITE 2, BLACKSBURG, VA 24060-6600
(540) 552-8346
(540) 951-8346
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
0101051292
VA
Other
Enumeration date
03/03/2008
Last updated
03/07/2008
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