Organization · Type 2 NPI
Midatlantic Vascular, LLC
Clinic/Center · Myrtle Beach, SC
NPI number
1407102429
Active
Practice location
4036 River Oaks Dr, Unit B2
Myrtle Beach, SC 29579-6695
Mailing address
1415 Eastridge Rd
Richmond, VA 23229-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1407102429
Midatlantic Vascular, LLC's National Provider Identifier is 1407102429, issued on Jul 27, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 27, 2012.