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Organization
CREWZ LLC
Active
Organization
CREWZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WELLS CAHOON M.D. (PRESIDENT)
(276) 988-4551
Entity
Organization
Contact information
Practice address
BUILDING 20, WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605
(276) 322-5439
(276) 322-5442
Mailing address
424 GOOSE CREEK RD, NORTH TAZEWELL, VA 24630-9457
(276) 988-4551
(276) 988-4551
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0101241022
VA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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