Organization
ABINGDON PHYSICIAN PARTNERS
Active
Parent organization
ABINGDON PHYSICIAN PARTNERS
Other names
Abingdon Surgical Associats
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABINGDON PHYSICIAN PARTNERS
Authorized official
JOHN JETER (CFP)
(276) 258-1777
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR STE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Mailing address
16000 JOHNSTON MEMORIAL DR STE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA5562
RAILROAD MEDICARE NUMBER
—
Enumeration date
11/07/2005
Last updated
12/23/2014
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