Organization
CLINCH VALLEY PULMONOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MERRITT (DIRECTOR)
(276) 964-6966
Entity
Organization
Contact information
Practice address
2951 WEST FRONT STREET, SUITE 1000, RICHLANDS, VA 24641
(276) 964-6966
(276) 963-3690
Mailing address
2951 WEST FRONT STREET, SUITE 1000, RICHLANDS, VA 24641
(276) 964-6966
(276) 963-3690
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210133000
—
WV
05
—
1306835673
—
VA
Enumeration date
10/19/2005
Last updated
08/28/2007
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