Organization
JOHN W. CARMODY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W CARMODY MD (PRESIDENT)
(276) 236-9393
Entity
Organization
Contact information
Practice address
502 S MAIN ST, GALAX, VA 24333-3918
(276) 236-9393
(276) 236-2882
Mailing address
502 S MAIN ST, GALAX, VA 24333-3918
(276) 236-9393
(276) 236-2882
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101233327
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073586186
MARK DAVIS, PA-C NPI
VA
01
—
1982677415
DR. CARMODY NPI
VA
01
—
386048
ANTHEM
VA
Enumeration date
08/30/2006
Last updated
04/09/2008
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