Organization
GREENBRIER VALLEY EMG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
2901 SELMA LOW MOOR DR, LOW MOORE, VA 24457
(540) 862-0068
(540) 863-9217
Mailing address
PO BOX 932184, ATLANTA, GA 31193-4912
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/18/2023
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