Provider Demographics
NPI:1083363097
Name:VASCULAR INSTITUTE OF THE PINES, PLLC
Entity Type:Organization
Organization Name:VASCULAR INSTITUTE OF THE PINES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:BAIR
Authorized Official - Last Name:HERSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-434-7426
Mailing Address - Street 1:6 REGIONAL DR STE C
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9868
Mailing Address - Country:US
Mailing Address - Phone:910-338-3381
Mailing Address - Fax:910-226-0197
Practice Address - Street 1:6 REGIONAL DR STE C
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9868
Practice Address - Country:US
Practice Address - Phone:910-338-3381
Practice Address - Fax:910-226-0197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty