Organization
CARDIOLOGY CONSULTANTS OF DANVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CARTER MUSTAIN (INSURANCE MANAGER)
(434) 791-1088
Entity
Organization
Contact information
Practice address
158 EXECUTIVE DRIVE, DANVILLE, VA 24541-4100
(434) 791-1088
(434) 799-8525
Mailing address
158 EXECUTIVE DRIVE, DANVILLE, VA 24541-4100
(434) 791-1088
(434) 799-8525
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890158E
—
NC
01
—
CC4063
RAILROAD MEDICARE
VA
Enumeration date
12/27/2006
Last updated
06/26/2015
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