Individual
SAGE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 W MAIN ST, SALTVILLE, VA 24370-3112
(276) 496-4433
(276) 496-5923
Mailing address
PO BOX 729, SALTVILLE, VA 24370-0729
(276) 496-4492
(276) 496-4839
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101242793
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945297
—
VA
01
—
1528246733
ANTHEM
VA
05
—
1952434383
—
VA
Enumeration date
02/11/2008
Last updated
09/12/2018
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