Organization
COLUMBIA MEDICAL GROUP-SOUTHWEST VIRGINIA, IN
Active
Other names
Pulaski Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (VP)
(804) 237-7760
Entity
Organization
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-9443
(540) 994-9330
Mailing address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-9443
(540) 994-9330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326082637
—
VA
Enumeration date
06/16/2006
Last updated
01/21/2010
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