Center For Vein Restoration Nc PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlotte, NC. Organization (NPI-2).
NPI number1013878024
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1013878024
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Vein Restoration Nc PLLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2025
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
Practice location
15825 Ballantyne Medical Pl Ste 240Charlotte, NC 28277-4790
Phone 855-830-8346
Mailing address
7474 Greenway Center Dr Ste 1000Greenbelt, MD 20770-3500
Phone 240-965-3261
Authorized official
Lorena Thomas
Cred Manager
8152541761
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