OrganizationActive
Carolina Vein Care and Aesthetics, LLC
NPI 1134615396 · Vascular Surgery Physician · Greenville, SC
Provider details
- NPI number
- 1134615396
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Carolina Vein Care and Aesthetics, LLC
- Organization subpart
- Yes
- Authorized official
- Mark Jackson, Officer(864) 918-1911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
103 S Venture Dr Ste B
Greenville, SC 29615-3571
Phone: (864) 918-1911
Approximate (ZIP-level) locationGet directions
Mailing address
103 S Venture Dr Ste B
Greenville, SC 29615-3571
Other names (DBA / former)
- Doing business as
- Carolina Vein Care Aesthetics, LLC
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.