Organization
DANVILLE RADIOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M SPENCER M.D. (PRESIDENT)
(434) 799-4200
Entity
Organization
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-4200
(434) 792-3925
Mailing address
125 EXECUTIVE DR, SUITE L, DANVILLE, VA 24541-4155
(434) 799-4200
(434) 792-3925
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053546
ANTHEM BLUE CROSS
VA
01
—
58695
SOUTHERN HEALTH
VA
05
—
7901397
—
NC
01
—
CE3066
RAILROAD MEDICARE
—
Enumeration date
09/27/2006
Last updated
09/24/2014
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