Organization
TOWN OF PENNINGTON GAP
Active
Other names
Town of Pennington Gap
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESTINY VAN METRE (MANAGER)
(270) 744-8413
Entity
Organization
Contact information
Practice address
296 N KENTUCKY ST, PENNINGTON GAP, VA 24277-2226
(276) 546-1177
(276) 546-6328
Mailing address
528 INDUSTRIAL DR, PENNINGTON GAP, VA 24277-1612
(276) 546-1177
(276) 546-6328
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
11/17/2022
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