# PATHWAY HEALTHCARE-VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639709769
- **Authorized official:** MELISSA COX (CREDENTIALING)
- **Authorized official phone:** (205) 208-9312

## Contact information

- **Practice address:** 1941 NEELEY RD, BIG STONE GAP, VA 24219-4474
- **Practice address phone:** (703) 544-7861
- **Mailing address:** 1000 URBAN CENTER DR STE 600, VESTAVIA, AL 35242-2584
- **Mailing address phone:** (205) 208-9312
- **Mailing address fax:** (205) 848-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 01/16/2020
- **Last updated:** 06/01/2021