Organization
VIRGINIA INPATIENT MEDICINE ASSOCIATES LLC
Active
Parent organization
EAGLE HOSPITAL PHYSICIANS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HOSPITAL PHYSICIANS, LLC
Authorized official
DR. TALBOT GREEN MCCORMICK III M.D. (PRESIDENT-CHIEF OPERATING OFFICIER)
(678) 441-8500
Entity
Organization
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE C-350, ATLANTA, GA 30328-5382
(678) 441-8500
(678) 397-0065
Mailing address
PO BOX 96368, OKLAHOMA CITY, OK 73143-6368
(678) 441-8500
(678) 397-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922470
—
NC
01
—
DR2432
RR MEDICARE
VA
Enumeration date
07/15/2010
Last updated
07/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us