OrganizationFayetteville Vascular And Vein Center, Pa(Sandhills Surgical Associates, Pa)SurgeryAllopathic & Osteopathic PhysiciansPractice Address3410 Village Dr Ste 200, Fayetteville, NC 28304-4552(910) 401-0202PECOS EnrollmentBased on the most recent information from CMS, provider Fayetteville Vascular And Vein Center, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1578702775Provider TypeOrganizationFull NameFayetteville Vascular And Vein Center, PaOther NameSandhills Surgical Associates, PaSubpartNoEnumeration Date2/11/2009Last Updated10/30/2017Contact InformationPractice LocationPractice Address3410 Village Dr Ste 200, Fayetteville, NC 28304-4552Phone(910) 401-0202Fax(910) 401-0210Mailing LocationMailing AddressPO Box 87088, Fayetteville, NC 28304-7088Phone(910) 401-0202Fax(910) 401-0210Authorized OfficialNameLeke, Michael A. (President)Phone(910) 401-0202Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer