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NPI Profile for DICKENSON COMMUNITY HOSPITAL INC in CLINTWOOD, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1477360097 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/17/2024 | |
| Last updated | 12/17/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DICKENSON COMMUNITY HOSPITAL, INC.