Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Parent organization
COMMONEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other names
Southwest Virginia Child Development Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
ELEANOR S. CANTRELL MD (HEALTH DIRECTOR)
(276) 328-8000
Entity
Organization
Contact information
Practice address
190 BEECH STREET, STE 102, GATE CITY, VA 25251-3623
(276) 386-1312
(276) 386-2116
Mailing address
190 BEECH ST, STE 102, GATE CITY, VA 24251-3623
(276) 386-1312
(276) 386-2116
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/12/2013
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