Organization
NUVENA VEIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD C ADAMS III MD (OWNER)
(601) 506-3366
Entity
Organization
Contact information
Practice address
120 FOUNTAINS BLVD, MADISON, MS 39110
(601) 667-4405
(601) 667-4406
Mailing address
107 ROSEDOWNE BEND, MADISON, MS 39110
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
13236
MS
207L00000X
Anesthesiology Physician
—
MS
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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