Organization
ABINGDON INTEGRATIVE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA ELIZABETH PELLY MD (ADMINISTRATOR)
(276) 608-4388
Entity
Organization
Contact information
Practice address
468 E MAIN ST STE 300A, ABINGDON, VA 24210-3501
(276) 608-4388
Mailing address
468 E MAIN ST STE 300A, ABINGDON, VA 24210-3501
(276) 608-4388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457820888
—
VA
05
—
1750591442
—
FL
Enumeration date
11/14/2018
Last updated
02/04/2020
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