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Organization

DLP TWIN COUNTY PHYSICIAN PRACTICES LLC

Active
Other names
Twin County ENT
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization

Contact information

Practice address
104 DOCTORS PARK, GALAX, VA 24333-2276
(276) 236-5161
(276) 238-8071
Mailing address
104 DOCTORS PARK, GALAX, VA 24333-2276
(276) 236-5161
(276) 238-8071

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
207YX0602X
Otolaryngic Allergy Physician

Other

Enumeration date
03/26/2012
Last updated
05/03/2012
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