Vein Centers For Excellence Of Charlotte, INC.
Surgery in Huntersville, NC. Organization (NPI-2).
NPI number1790734622
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790734622
- Entity type
- Organization (NPI-2)
- Legal business name
- Vein Centers For Excellence Of Charlotte, INC.
- Organization subpart
- No
- Enumeration date
- May 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
10215 Hickorywood Hill AveSuite B
Huntersville, NC 28078-3307
Phone 704-947-7027 · Fax 704-947-2273
Mailing address
10215 Hickorywood Hill AveSuite B
Huntersville, NC 28078-3307
Phone 704-947-7027 · Fax 704-947-2273
Authorized official
David L Walrath
President
7049477027
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