Organization
VIRGINIAS DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TOLLIVER (OFFICE MANAGER)
(276) 326-3376
Entity
Organization
Contact information
Practice address
1 COUNTRY CLUB HL, BLUEFIELD, WV 24701-4467
(276) 326-3376
(276) 326-3046
Mailing address
34 NEW HOPE RD, PRINCETON, WV 24740-2354
(276) 326-3376
(276) 326-3046
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
06/16/2008
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