Organization
CATAWBA VALLEY MEDICAL GROUP INC
Active
Organization
CATAWBA VALLEY MEDICAL GROUP INC
Active
Parent organization
MEDVANTX, INC
Other names
CVMG -Taylorsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
50 MACEDONIA CHURCH RD, SUITE A, TAYLORSVILLE, NC 28681-8414
(828) 632-7076
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
24183
NC
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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