Organization
GRUNDY INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCNUTT (BILLING MANAGER)
(276) 935-4858
Entity
Organization
Contact information
Practice address
1532 SLATE CREEK ROAD, STE 203, GRUNDY, VA 24614
(276) 935-4858
Mailing address
PO BOX 2855, GRUNDY, VA 24614-2855
(276) 935-4858
(276) 935-5197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049088
VA
Other
Enumeration date
03/29/2007
Last updated
11/20/2009
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