Organization · Type 2 NPI
Goatee Vascular LLC
Vascular Surgery Physician · Myrtle Beach, SC
NPI number
1962765081
Active
Practice location
4036 River Oaks Dr, Unit B2
Myrtle Beach, SC 29579-6695
Fax (757) 467-2703
Mailing address
1415 Eastridge Rd
Richmond, VA 23229-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
About NPI 1962765081
Goatee Vascular LLC's National Provider Identifier is 1962765081, issued on Jun 22, 2012. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 22, 2012.