# VIRGIL V. WILLARD, II MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Image Discovery PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558416255
- **Authorized official:** MRS. MITZE S SEGERS (BILLING SUPERVISOR)
- **Authorized official phone:** (336) 886-1667

## Contact information

- **Practice address:** 1011 N LINDSAY ST, HIGH POINT, NC 27262-3944
- **Practice address phone:** (336) 886-1667
- **Practice address fax:** (336) 886-5536
- **Mailing address:** 1011 N LINDSAY ST, HIGH POINT, NC 27262-3945
- **Mailing address phone:** (336) 886-1667
- **Mailing address fax:** (336) 886-5536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 137733 | NC | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 06/24/2009