Vein Associates Irmo Pc

NPI 1891974747 - Internal Medicine - 207RC0000X

NPI Details
NPI 1891974747
Enumeration Date 10/29/2007
Last Updated 10/29/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN C STEPHEN
Position MD
Phone (803) 407-8346
Fax (803) 732-2624
Practice Location
1 WELLNESS BLVD
SUITE 103
IRMO SC, 29063-2871, US
Phone (803) 407-8346
Fax (803) 732-2624
Business Location
400 INTERNATIONAL PKWY
#100
HEATHROW FL, 32746-5061, US
Phone (407) 708-5818
Fax (407) 708-5819
Toxanomy
Taxonomy Code 207RC0000X
License State South Carolina
License Number 11871
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According to our database, Vein Associates Irmo Pc NPI is 1891974747, taxonomy code is 207RC0000X and license number is 11871, license state is located at South Carolina. Vein Associates Irmo Pc physically located at 1 Wellness Blvd, Irmo SC, 29063-2871. NPI Number 1033115704 has the healthcare provider type.

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1891974747 NPI number is provided on an as is basis without warranty of any kind. 1891974747 is maintained by the National Plan & Provider Enumeration System. The contents of Vein Associates Irmo Pc are for informational purposes only.