Provider Demographics
NPI:1427594605
Name:WESTROL MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:WESTROL MEDICAL CONSULTANTS
Other - Org Name:WESTROL VEIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:WESTROL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-775-0133
Mailing Address - Street 1:103A REGENCY COMMONS DR
Mailing Address - Street 2:STE 2
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5210
Mailing Address - Country:US
Mailing Address - Phone:864-775-0133
Mailing Address - Fax:864-663-6443
Practice Address - Street 1:103A REGENCY COMMONS DR
Practice Address - Street 2:STE 2
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5210
Practice Address - Country:US
Practice Address - Phone:864-775-0133
Practice Address - Fax:864-663-6443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC33033202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty