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Organization

COMMUNITY MEMORIAL HEALTHCENTER

Active
Other names
CMH Specialty Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONNIE TATUM JR. (VP OF FINANCE & CFO)
(434) 774-2400
Entity
Organization

Contact information

Practice address
140 E FERRELL ST, SOUTH HILL, VA 23970-2102
(434) 774-2400
Mailing address
142 E FERRELL ST, SOUTH HILL, VA 23970-2102

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008834393
VA
05
89016G6
NC
Enumeration date
12/29/2006
Last updated
08/31/2022
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