Organization
SHENANDOAH MEMORIAL HOSPITAL
Active
Other names
Shenandoah Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A TAYLOR (DIRECTOR)
(540) 459-1111
Entity
Organization
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1111
(540) 459-1293
Mailing address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1111
(540) 459-1293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VA
Enumeration date
04/18/2008
Last updated
07/07/2008
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