MEDICARE: VEINS LIMITED, PLLC

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
1	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1447209408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEINS LIMITED, PLLC

Provider Business Mailing Address
First Line	:	408 8TH ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-4167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 8TH ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-4167
Country	:	US
Telephone Number	:	336-667-4718
Fax Number	:	336-667-4303

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEONARD A BAUGHAM
Credential	:	MD
Telephone Number	:	336-667-4718

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/22/2020

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408 8TH ST , 1ST FLOOR
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1467443184 — MR. JOHN G OLIVER MD
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1245201573 — MR. MICHAEL ALDRED BLACKWELL III MD
Practice Location Address:

408 8TH ST , SUITE 4
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Practice Fax: 336-667-1095

1861459257 — LEONARD A BAUGHAM MD
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408 8TH ST
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28659-4167

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1184639908 — LEONARD A BAUGHAM SR MD, PLLC
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1225366982 — JOHN G OLIVER MD PROFESSIONAL ASSOCIATES
Practice Location Address:

408 8TH ST
NORTH WILKESBORO, NC
28659-4167

Practice Phone: 336-838-5121
Practice Fax: 336-667-5756

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