Organization
HEART OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK A PAINTER M.D. (PRESIDENT)
(276) 632-4200
Entity
Organization
Contact information
Practice address
26 BROAD ST, MARTINSVILLE, VA 24112-2802
(276) 632-4200
(276) 634-5312
Mailing address
26 BROAD ST, MARTINSVILLE, VA 24112-2802
(276) 632-4200
(276) 634-5312
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101042801
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275692717
NPI
—
Enumeration date
06/30/2008
Last updated
07/17/2008
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