Organization
CATAWBA VALLEY MEDICAL GROUP INC
Active
Parent organization
MEDVANTX, INC.
Other names
CVMG Maiden
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
137 ISLAND FORD RD, MAIDEN, NC 28650-8735
(828) 428-2446
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
200300322
NC
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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