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Contact Information

GREENBRIER VMC LLC
202 MAPLEWOOD AVE
RONCEVERTE, WV24970-1334
 Phone: 304-647-4411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for GREENBRIER VMC LLC · (Female)

NPI Number 1275546996
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2006
Last updated 12/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid 0106041003
  • Other CJ9984 MEDICARE RR
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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