Organization
IMANI MEDICAL CORPORATION
Active
Organization
IMANI MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERDENA ROSS JENNINGS D.O. (PHYSICIAN)
(540) 672-9000
Entity
Organization
Contact information
Practice address
111 SHORT ST, ORANGE, VA 22960-1651
(540) 672-9000
(540) 672-2710
Mailing address
111 SHORT ST, ORANGE, VA 22960-1651
(540) 672-9000
(540) 672-2710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IM9374231
PTAN
OH
Enumeration date
02/08/2017
Last updated
02/08/2017
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