Organization
VIRGINIA NUCLEAR CARDIOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 815-7804
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD, SUITE 304, ANNANDALE, VA 22003-1229
(703) 204-0355
(703) 204-0356
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 815-7789
(888) 401-6931
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00289400
RR MEDICARE
DC
Enumeration date
04/26/2007
Last updated
08/07/2009
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