Organization
CHEST DISEASES AND INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY COOK (OFFICE MANAGER)
(434) 392-7859
Entity
Organization
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-7859
Mailing address
PO BOX 353, FARMVILLE, VA 23901-0353
(434) 392-7859
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101047394
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101047394
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101047394
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133904
—
VA
01
—
DC6796
RAILROAD MEDICARE
VA
Enumeration date
06/29/2007
Last updated
02/22/2016
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