| Midatlantic Vascular, Llc | |
|
4036 River Oaks Dr Unit B2 Myrtle Beach SC 29579-6695 | |
| (757) 333-2066 | |
| Not Available |
| Full Name | Midatlantic Vascular, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4036 River Oaks Dr, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Angela N Schwarzkopf (GENERAL MANAGER) |
| Authorized Official Contact | 7573332066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midatlantic Vascular, Llc 1415 Eastridge Rd Richmond VA 23229-5501 Ph: (757) 333-2066 | Midatlantic Vascular, Llc 4036 River Oaks Dr Unit B2 Myrtle Beach SC 29579-6695 Ph: (757) 333-2066 |
| NPI Number | 1407102429 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407102429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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