Organization
PIEDMONT CAROLINA VASCULAR SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K BURTNETT (VP OF OUTPATIENT SERVICES, TENET)
(469) 893-2902
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
—
—
Other
Enumeration date
11/27/2012
Last updated
06/16/2016
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