Organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Active
Parent organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Other names
Panhandle Cardiology and Vascular Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
1000 TAVERN RD STE 200, MARTINSBURG, WV 25401-2853
(304) 264-9485
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
VA
2086S0129X
Vascular Surgery Physician
—
VA
Other
Enumeration date
03/02/2018
Last updated
01/08/2020
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