Provider Demographics
NPI:1558906784
Name:CAROLINAS VEIN & VASCULAR SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:CAROLINAS VEIN & VASCULAR SOLUTIONS, PLLC
Other - Org Name:CAROLINAS VEIN & VASCULAR SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIGNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-659-4499
Mailing Address - Street 1:14330 OAKHILL PARK LN STE 125
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3481
Mailing Address - Country:US
Mailing Address - Phone:704-659-4499
Mailing Address - Fax:800-878-1090
Practice Address - Street 1:14330 OAKHILL PARK LN STE 125
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3481
Practice Address - Country:US
Practice Address - Phone:704-659-6808
Practice Address - Fax:800-878-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty