| Viason | |
|
10011 Southmoor Ln Fort Mill SC 29707-9117 | |
| (704) 390-6607 | |
| (704) 276-6444 |
| Full Name | Viason |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10011 Southmoor Ln, Fort Mill, South Carolina |
| Authorized Official Name and Position | Sergio Khomyak (CEO) |
| Authorized Official Contact | 7043906607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viason 10011 Southmoor Ln Fort Mill SC 29707-9117 Ph: (704) 390-6607 | Viason 10011 Southmoor Ln Fort Mill SC 29707-9117 Ph: (704) 390-6607 |
| NPI Number | 1386981710 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386981710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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