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Mid Atlantic Endoscopy PC

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

NPI number1912969734
StatusActive
Last updated in NPPESFeb 29, 2008

Details

NPI
1912969734
Entity type
Organization (NPI-2)
Legal business name
Mid Atlantic Endoscopy PC
Organization subpart
No
Enumeration date
Apr 5, 2006
Last updated
Feb 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology0101041026VAYes

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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