Vein Associates Irmo PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11871 Issued in SC

Legal business name

VEIN ASSOCIATES IRMO PC

Practice address

1 Wellness Blvd
Suite 103
Irmo, SC 29063-2871

Phone

(803) 407-8346

Fax

(803) 732-2624

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Stephen C Miller, MD

Title

MD

Phone

(407) 708-5818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1891974747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL PKWY",
            "address_2": "#100",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327465061",
            "telephone_number": "407-708-5818",
            "fax_number": "407-708-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE 103",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-407-8346",
            "fax_number": "803-732-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN ASSOCIATES IRMO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-708-5818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "11871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Irmo, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.