Columbia Vein and Aesthetic Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9529 Issued in SC

Legal business name

COLUMBIA VEIN AND AESTHETIC CENTER

Practice address

9820 Queensway Blvd
Suite 1210
Myrtle Beach, SC 29572-5232

Phone

(803) 732-2554

NPI assigned

Oct 24, 2007

Last updated

Jan 26, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis Roy Anderson, MDNPI 1265460067

Title

President

Phone

(803) 732-2554

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Roy Anderson, MD

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1265460067
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1326237538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WESTBURY PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128351",
            "telephone_number": "803-732-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 QUEENSWAY BLVD",
            "address_2": "SUITE 1210",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295725232",
            "telephone_number": "803-732-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA VEIN AND AESTHETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-732-2554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "9529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.