Organization
VALLEY PHYSICIAN ENTERPRISE, INC.
Active
Other names
General Surgery Specialists PLC
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
1870 AMHERST ST STE 2A, WINCHESTER, VA 22601-2841
(540) 722-3595
(540) 667-3068
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-0231
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
VA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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