Organization
CMHUROLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WAYNE LIBBY JR. (VP FINANCE)
(434) 774-2530
Entity
Organization
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 774-2530
Mailing address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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