Organization
PERFORMANCE MEDICINE OF SOUTHWEST
Active
Other names
Performance Medicine of Southwest Virginia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DELMAS J BOLIN M.D. (PRESIDENT)
(540) 772-1890
Entity
Organization
Contact information
Practice address
25 W CALHOUN ST, SALEM, VA 24153-3836
(540) 772-1890
(540) 772-1893
Mailing address
25 W CALHOUN ST, SALEM, VA 24153-3836
(540) 772-1890
(540) 772-1893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/02/2013
Last updated
05/23/2024
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