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Mid Atlantic Health Specialists PC

Internal Medicine, Gastroenterology in Galax, VA. Organization (NPI-2).

NPI number1619938024
StatusActive
Last updated in NPPESMar 3, 2008

Details

NPI
1619938024
Entity type
Organization (NPI-2)
Legal business name
Mid Atlantic Health Specialists PC
Organization subpart
No
Enumeration date
Mar 28, 2006
Last updated
Mar 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology0101041026VAYes
363LF0000X Nurse Practitioner, Family0024103947VA
207Q00000X Family Medicine0101057515VA
363A00000X Physician Assistant0110001464VA

Practice location

103 Doctors Park
Galax, VA 24333-2277

Phone 276-236-2947

Mailing address

103 Doctors Park
Galax, VA 24333-2277

Phone 276-236-2947

Authorized official

Robert Benish
President
2762362947

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