Carolina Vascular Surgery, Llc

LBN: Carolina Vascular Surgery, Llc
Carolina Vascular Surgery, Llc is an health care organization with primary practice located at 1721 Ebenezer Rd Suite 115, Rock Hill SC 29732-4103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Carolina Vascular Surgery, Llc can be contacted via phone (803) 985-4000, or through Taormina, Martin Vincent via phone (803) 985-4000.

Contact Information

Primary practice address
1721 Ebenezer Rd Suite 115 Rock Hill SC 29732-4103
Fax: (803) 985-4006
Website:
Authorized official contact:
Name: Taormina, Martin Vincent Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 23865 South Carolina

Profile Details

NPI number 1508929365
LBN Legal business name Carolina Vascular Surgery, Llc
DBA Doing business as
Authorized official Taormina, Martin Vincent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508929365 NPPES
South Carolina MEDICAID GP3758

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