Organization
SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC
Active
Other names
Surgical Associates of SW Virginia, LLC (Mistake)
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CALKINS (VICE PRESIDENT)
(804) 237-7776
Entity
Organization
Contact information
Practice address
2460 LEE HIGHWAY N, SUITE 4, PULASKI, VA 24301
(540) 980-9660
(540) 980-9663
Mailing address
2460 LEE HIGHWAY N, SUITE 4, PULASKI, VA 24301
(540) 980-9660
(540) 980-9663
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801831524
—
VA
Enumeration date
06/17/2006
Last updated
12/22/2014
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