CAROLINA VEIN CARE AESTHETICS, LLC
NPI 1134615396
Surgery - Vascular Surgery in Greenville, SC

Active since July 10, 2018
103 S VENTURE DR STE B, GREENVILLE, SC 29615(864) 918-1911 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2018, Jul 10, 2018 (2 updates tracked since 2018).

About Carolina Vein Care Aesthetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA VEIN CARE AESTHETICS, LLC (NPI 1134615396) is a healthcare organization registered as a vascular surgery in Greenville, South Carolina and active in the NPI registry since July 2018. The organization lists Mark R Jackson, Officer, as its authorized official.

NPPES Registry Identity

NPI1134615396
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCAROLINA VEIN CARE AND AESTHETICS, LLC
Location Address103 S VENTURE DR STE BGreenville, SC 29615-3571
Mailing Address103 S Venture Dr Ste BGreenville, SC 29615-3571 · (864) 918-1911
Organization SubpartYesParent: Carolina Vein Care And Aesthetics, Llc
Authorized OfficialMark R JacksonOfficer · (864) 918-1911
Enumeration DateJuly 10, 2018
Last NPPES UpdateOctober 30, 20182 updates tracked since enumeration
NPI 1134615396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

103 S VENTURE DR STE B, Greenville, SC 29615

Other Names 1

Doing Business AsCarolina Vein Care Aesthetics, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
103 S VENTURE DR STE B
GREENVILLE, SC 29615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134615396, enumerated as an "organization" on July 10, 2018.

The provider is located at 103 S VENTURE DR STE B GREENVILLE, SC 29615 and the phone number is (864) 918-1911.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.