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Contact Information

MOUNTAINEER GASTROENTEROLOGY INC
1100 CEDAR VALLEY DR,
CEDAR BLUFF, VA24609
 Phone: 276-596-9980
 Fax: 276-596-9981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for MOUNTAINEER GASTROENTEROLOGY INC · (Female)

NPI Number 1619164365
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2007
Last updated 09/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0102037199
  • WV License # 1732
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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