VASCULAR AND VEIN INSTITUTE OF THE SOUTH PLLC NPI 1073396453

NPI Information

NPI: 1073396453
Provider Name: VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1653 POPLAR AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 390-2930
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VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC is a foot and ankle surgery podiatrist in Memphis, TN. VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC NPI is 1073396453. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1653 POPLAR AVE
MEMPHIS, TN
ZIP 38104-511
Phone: (901) 390-2930

The provider's authorized official is Deona Deicke .
The authorized official title is Credentialing Specialist and has the following contact phone number (203) 641-9529.

The enumeration date for this NPI number is 8/17/2023 and was last updated on 8/17/2023.

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	Primary
1	2086S0129X	Surgery	Vascular Surgery	No
2	213E00000X	Podiatrist		No
3	363LF0000X	Nurse Practitioner	Family	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

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

NPI Synchronization or Removal

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