Provider Demographics
NPI:1063849271
Name:NVN MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:NVN MEDICAL SERVICES, LLC
Other - Org Name:WOUND HEALING AND HYPERBARIC MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:V
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-588-5582
Mailing Address - Street 1:295 SEVEN FARMS DR
Mailing Address - Street 2:SUITE C-302
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8001
Mailing Address - Country:US
Mailing Address - Phone:843-588-5582
Mailing Address - Fax:843-588-5582
Practice Address - Street 1:295 SEVEN FARMS DR
Practice Address - Street 2:SUITE C-302
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8001
Practice Address - Country:US
Practice Address - Phone:843-588-5582
Practice Address - Fax:843-588-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDO1686207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty