Organization
PIEDMONT UROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ANDREW GEHRKEN JR. M.D. (PRESIDENT)
(276) 634-5000
Entity
Organization
Contact information
Practice address
101 CLEVELAND AVE, SUITE C, MARTINSVILLE, VA 24112-3700
(276) 634-5000
(276) 634-5229
Mailing address
101 CLEVELAND AVE, SUITE C, MARTINSVILLE, VA 24112-3700
(276) 634-5000
(276) 634-5229
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396799318
—
VA
05
—
1831243542
—
VA
01
—
DP0279
RR MEDICARE
VA
Enumeration date
07/26/2007
Last updated
09/18/2009
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