Organization
SOUTHWEST VIRGINIA CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PROKOPCHAK (OFFICE MANAGER)
(540) 375-9375
Entity
Organization
Contact information
Practice address
2850 KEAGY RD, SALEM, VA 24153-7458
(540) 375-9375
(540) 375-9376
Mailing address
2850 KEAGY RD, SALEM, VA 24153-7458
(540) 375-9375
(540) 375-9376
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083685911
—
VA
Enumeration date
08/02/2010
Last updated
04/03/2014
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