Organization
STERLING EMERGENCY SERVICES OF VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDY KELLER (VICE PRESIDENT)
(904) 805-1300
Entity
Organization
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-8811
Mailing address
PO BOX 532858, ATLANTA, GA 30353-2858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153395
ANTHEM GROUP
VA
01
—
DC4071
RR MCR GROUP
VA
Enumeration date
09/15/2005
Last updated
08/22/2020
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