Vascular and Vein Institute of the South, Pllc
NPI #1790482115 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1790482115
- Entity Type
- Organization
- Organization Name
- Vascular and Vein Institute of the South, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 15, 2023
- Last Updated
- Feb 15, 2023
Practice Location
- Address
- 904 HOLIDAY DR STE 402
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-9157
- Phone
- (901) 390-2930
Authorized Official
- Name
- HEATHER NOEL
- Title
- CREDENTIALING SPECIALIST
- Phone
- (901) 390-2930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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