Organization
PALMETTO VEIN & AESTHETIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M ESPINOZA MD (PHYSICIAN)
(803) 359-8346
Entity
Organization
Contact information
Practice address
4715 SUNSET BLVD, SUITE C, LEXINGTON, SC 29072-9151
(803) 359-8346
(803) 359-0978
Mailing address
4715 SUNSET BLVD, SUITE C, LEXINGTON, SC 29072-9151
(803) 359-8346
(803) 359-0978
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4726
—
SC
Enumeration date
04/20/2007
Last updated
03/05/2009
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