Organization
IMAGING INTERNATIONAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST L COBURN JR. MD (PRESIDENT)
(276) 739-7989
Entity
Organization
Contact information
Practice address
315 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 623-8100
Mailing address
PO BOX 208, ABINGDON, VA 24212-0208
(276) 623-8100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101023208
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245419
ANTHEM
VA
Enumeration date
11/20/2007
Last updated
03/07/2008
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