Organization
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Active
Parent organization
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Authorized official
HEATHER NOEL (CREDENTIALING SPECIALIST)
(901) 390-2930
Entity
Organization
Contact information
Practice address
904 HOLIDAY DR STE 402, FORREST CITY, AR 72335-9157
(901) 390-2930
Mailing address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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