The Vein Clinic, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9552 Issued in SC

Legal business name

THE VEIN CLINIC, LLC

Practice address

1725 Devonshire Dr
Columbia, SC 29204-2404

Phone

(803) 253-8667

Fax

(803) 253-8670

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Rembert Neal Reynolds, M.D.

Title

Physician

Phone

(803) 253-8667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1386840536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 DEVONSHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042404",
            "telephone_number": "803-253-8667",
            "fax_number": "803-253-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 DEVONSHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042404",
            "telephone_number": "803-253-8667",
            "fax_number": "803-253-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VEIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "REMBERT",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-253-8667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "9552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Columbia, SC
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• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.