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Organization

INTERNATIONAL VEIN INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY ADAMS PEARSON MD (MEMBER)
(912) 756-3005
Entity
Organization

Contact information

Practice address
2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
(912) 756-3005
(912) 756-5921
Mailing address
2701 US HIGHWAY 17, RICHMOND HILL, GA 31324-3799
(912) 756-3005
(912) 756-5921

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
47638
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000831971K
GA
01
1447249289
NPI
Enumeration date
10/08/2011
Last updated
10/08/2011
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