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Vascular Access Center Of Bolivar County LLC

Radiology, Vascular & Interventional Radiology in Cleveland, MS. Organization (NPI-2).

NPI number1851620249
StatusActive
Last updated in NPPESJun 13, 2024

Details

NPI
1851620249
Entity type
Organization (NPI-2)
Legal business name
Vascular Access Center Of Bolivar County LLC
Organization subpart
No
Enumeration date
Dec 14, 2009
Certification date
Jun 13, 2024
Last updated
Jun 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology––Yes

Other names

  • Endovascular Health Services Of Bolivar County (Doing Business As)

Practice location

810 E Sunflower Rd
Suite 100b
Cleveland, MS 38732-2800

Phone 662-579-3484 · Fax 662-579-3485

Mailing address

285 Wilmington W Chester Pike
Chadds Ford, PA 19317-9039

Phone 610-558-2800 · Fax 610-558-4839

Authorized official

Rae Crews
Director Of Operations
6625793484

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