Commonwealth Vein Clinic

NPI #1497153084 in South Hill, Virginia

Provider Information

NPI Number: 1497153084
Entity Type: Organization
Organization Name: Commonwealth Vein Clinic
Primary Specialty: Surgery
Enumeration Date: Dec 12, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 518 W ATLANTIC ST
Address 2: SUITE A
City: South Hill
State: Virginia
ZIP Code: 23970-1906
Phone: (804) 754-6707

Authorized Official

Name: DR. JACK L FOREST, D.O.
Title: CO OWNER
Phone: (804) 754-6707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Surgery	208600000X	Primary

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Organizations

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Commonwealth General Surgery	Surgery	South Hill	AI Deep Dive

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