Organization
PATHWAY HEALTHCARE-VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COX (CREDENTIALING)
(205) 208-9312
Entity
Organization
Contact information
Practice address
1941 NEELEY RD, BIG STONE GAP, VA 24219-4474
(703) 544-7861
Mailing address
1000 URBAN CENTER DR STE 600, VESTAVIA, AL 35242-2584
(205) 208-9312
(205) 848-2227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/16/2020
Last updated
06/01/2021
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