Organization
GREENBRIER VMC LLC
Active
Other names
Jefferson Cardiology and Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
323 N JEFFERSON ST, LEWISBURG, WV 24901-1116
(304) 645-3280
(304) 645-3307
Mailing address
PO BOX 496, RONCEVERTE, WV 24970-0496
(304) 645-3280
(304) 645-3307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106041002
—
WV
Enumeration date
02/01/2007
Last updated
09/11/2025
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