| Columbia Vein And Aesthetic Center | |
|
9820 Queensway Blvd Suite 1210 Myrtle Beach SC 29572-5232 | |
| (803) 732-2554 | |
| Not Available |
| Full Name | Columbia Vein And Aesthetic Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9820 Queensway Blvd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Dennis Roy Anderson (PRESIDENT) |
| Authorized Official Contact | 8037322554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Vein And Aesthetic Center 132 Westbury Pl Columbia SC 29212-8351 Ph: (803) 732-2554 | Columbia Vein And Aesthetic Center 9820 Queensway Blvd Suite 1210 Myrtle Beach SC 29572-5232 Ph: (803) 732-2554 |
| NPI Number | 1326237538 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326237538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9529 (South Carolina) | Primary |
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