Organization
EAST COAST PM&R CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRIAR NABIZADEH (OWNER/PROVIDER)
(904) 803-7593
Entity
Organization
Contact information
Practice address
103 NORTH ST, BRISTOL, VA 24201
(276) 642-7900
(276) 642-8092
Mailing address
5700 FITZHUGH AVE, RICHMOND, VA 23226-1800
(904) 803-7593
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101256648
VA
Other
Enumeration date
08/11/2014
Last updated
01/23/2019
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