Organization
MOUNTAINVIEW PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINGER TESTERMAN SHEETS (PRACTICE MANAGER)
(276) 783-2511
Entity
Organization
Contact information
Practice address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
(276) 783-2532
Mailing address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
(276) 783-2532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101231927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006737587
—
VA
05
—
010088577
—
VA
05
—
1467657692
—
VA
05
—
1750388791
—
VA
05
—
1851617831
—
VA
Enumeration date
08/12/2006
Last updated
05/22/2012
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