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NPI Code Detail

MEDICARE: AIKEN VEIN

MEDICARE: AIKEN VEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center22253SC

General Provider Information

NPI Number : 1205256989
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIKEN VEIN
Provider Business Mailing Address
First Line : 137 MIRACLE DR
Second Line :
City : AIKEN
State : SC
Zip : 29801-6351
Country : US
Telephone Number : 803-641-4874
Fax Number : 803-641-1669
Provider Business Practice Location Address
First Line : 137 MIRACLE DR
Second Line :
City : AIKEN
State : SC
Zip : 29801-6351
Country : US
Telephone Number : 803-641-4874
Fax Number : 803-641-1669
Authorized Official
Title or Position : HEALTHCARE PROVIDER
Name : DR. WEEMS R. PENNINGTON III
Credential : M.D.
Telephone Number : 706-840-5277
Provider Enumeration Date : 04/22/2014
Last Update Date : 04/22/2014

Similar Medicare Providers

1013975093 — THOMAS P PAXTON M.D.
Practice Location Address:
137 MIRACLE DR
AIKEN, SC
29801-6351
Practice Phone: 803-641-5544
Practice Fax: 803-641-5625
1215027263 — DR. WEEMS R PENNINGTON III MD
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137 MIRACLE DR
AIKEN, SC
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1659454098 — DR. IDRIS SAYED SHARAF M.D.
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Practice Fax: 803-641-0436
1184707523 — DR. LOTHAIRE DIETER VOEGELE M.D.
Practice Location Address:
137 MIRACLE DR
AIKEN, SC
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Practice Fax: 803-641-1669
1487737821 — DR. GREGORY LAWTON EAVES M.D.
Practice Location Address:
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29801-6351
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1720161151 — DR. ANSERMO LESTER ARTHUR M.D.
Practice Location Address:
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AIKEN, SC
29801-6351
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1952487324 — DR. DAVID WILLIAM CUNDEY M.D.
Practice Location Address:
137 MIRACLE DR
AIKEN, SC
29801-6351
Practice Phone: 803-641-4874
Practice Fax: 803-641-0436

Directions to “AIKEN VEIN ” Practice Location

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