Organization
ACV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE PEARSON MD (PRESIDENT)
(540) 345-0289
Entity
Organization
Contact information
Practice address
5115 BERNARD DR, SUITE 201, ROANOKE, VA 24018-4357
(540) 345-0289
(540) 345-9569
Mailing address
PO BOX 13306, ROANOKE, VA 24032-3306
(540) 345-0289
(540) 345-9569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10909
GROUP MEDICARE #
VA
Enumeration date
09/16/2009
Last updated
07/29/2022
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