The Vein Clinic And Medispa

LBN: Southern Surgical Pc
The Vein Clinic And Medispa is an health care organization with primary practice located at 2406 Bellevue Rd #11 Erin Office Park, Dublin GA 31021-2842. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Surgical Pc can be contacted via phone (478) 275-2454, or through Moses, William (Bill) H via phone (478) 275-2454.

Contact Information

Primary practice address
2406 Bellevue Rd #11 Erin Office Park Dublin GA 31021-2842
Phone: (478) 275-2454
Fax: (478) 275-0991
Website:
Map and Directions
Authorized official contact:
Name: Moses, William (Bill) H Doctor of Medicine (MD)
Phone: (478) 275-2454

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1700905593
LBN Legal business name Southern Surgical Pc
DBA Doing business as The Vein Clinic And Medispa
Authorized official Moses, William (Bill) H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Aug 1st, 2007 - about 18 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 1700905593 NPPES
Georgia Other 2524982 UNITEDHEALTH CARE GROUP #

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