Greenbrier Vmc LLC
Surgery in Lewisburg, WV. Organization (NPI-2).
NPI number1417153172
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1417153172
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenbrier Vmc LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
Rr 2 Box 171-CGreyrock Professional Park
Lewisburg, WV 24901-9318
Phone 304-793-2059
Mailing address
Po Box 533Ronceverte, WV 24970-0533
Phone 304-793-2059
Authorized official
Debbie Brewer
Director Of Provider Enrollment
8778929813
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