Organization
MID ATLANTIC HEALTH SPECIALISTS HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENISH (PRESIDENT/PHYSICIAN)
(276) 236-2947
Entity
Organization
Contact information
Practice address
103 DOCTORS PARK, GALAX, VA 24333-2277
(276) 236-2947
(276) 236-2927
Mailing address
103 DOCTORS PARK, GALAX, VA 24333-2277
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D0232441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004996054
—
VA
Enumeration date
10/26/2006
Last updated
06/20/2008
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