Organization
THE CARSON BLACK LUNG RESEARCH AND EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY TERRY (CHIEF OPERATING OFFICER)
(252) 452-6075
Entity
Organization
Contact information
Practice address
40518 W MORGAN AVE, PENNINGTON GAP, VA 24277-1822
(252) 452-6075
(276) 318-0298
Mailing address
850 RIVERVIEW AVE FL 3, PINEVILLE, KY 40977-1452
(252) 452-4080
(276) 318-0298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
06/23/2020
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