Organization
GOATEE VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA N SCHWARZKOPF CPC, CMPE, MBA (ADMINISTRATOR)
(757) 333-2066
Entity
Organization
Contact information
Practice address
4036 RIVER OAKS DR, UNIT B2, MYRTLE BEACH, SC 29579-6695
(757) 333-2066
(757) 467-2703
Mailing address
1415 EASTRIDGE RD, RICHMOND, VA 23229-5501
(757) 333-2066
(757) 467-2703
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
SC
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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