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DETTA CONNELLY PHLEBOTOMIST NPI 1700654407


NPI Information

NPI: 1700654407
Provider Name: DETTA CONNELLY, PHLEBOTOMIST
Classification: Phlebology - 202K00000X
Entity Type: Individual
Address:
2348 KINMERE DR
GASTONIA, NC
ZIP 28056
Phone: (704) 674-4935
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Detta Connelly, PHLEBOTOMIST is a phlebology in Gastonia, NC. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. Detta Connelly, PHLEBOTOMIST NPI is 1700654407. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2348 KINMERE DR
GASTONIA, NC
ZIP 28056-812
Phone: (704) 674-4935

The enumeration date for this NPI number is 12/13/2023 and was last updated on 12/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202K00000XPhlebology4-6287NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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