Organization
NEW RIVER MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN P. GARDNER (INSURANCE CLERK)
(540) 980-0550
Entity
Organization
Contact information
Practice address
101 1ST ST NW, PULASKI, VA 24301-1641
(540) 980-0550
(540) 980-5010
Mailing address
P.O. BOX 1641, 101 1ST ST. NW, PULASKI, VA 24301-1641
(540) 980-0550
(540) 980-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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