Organization
CATAWBA VALLEY MEDICAL GROUP INC
Active
Parent organization
MEDVANTX, INC.
Other names
CVMG- Southeast Catawba
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
6127 HIGHWAY 16 S, DENVER, NC 28037-9220
(704) 483-0340
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2009-01671
NC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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