Organization
NCH RESIDENCY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE STURGILL (PRACTICE MANAGER, CPSC)
(276) 679-8890
Entity
Organization
Contact information
Practice address
716 SPRING AVE NE, WISE PROFESSIONAL OFFICE BLDG, WISE, VA 24293-5702
(276) 328-3394
(276) 328-3396
Mailing address
96 15TH ST NW, SUITE 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/14/2008
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