Tanner Hurley, | |
901 Plantation Rd Ste 3, Blacksburg, VA 24060-3821 | |
(540) 961-1058 | |
(540) 961-1668 |
Full Name | Tanner Hurley |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 901 Plantation Rd Ste 3, Blacksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285130997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 0101281789 (Virginia) | Primary |
Entity Name | Licking Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Mailing Address | Practice Location Address |
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Tanner Hurley, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Tanner Hurley, 901 Plantation Rd Ste 3, Blacksburg, VA 24060-3821 Ph: (540) 961-1058 |
Laurie J Hudgins, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 826 Davis St, Blacksburg, VA 24060 Phone: 540-951-1550 Fax: 540-951-7427 | |
Erica Madlock Royal, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 826 Davis St, Blacksburg, VA 24060 Phone: 540-443-0500 | |
Dr. Tamera L Howell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1997 S Main St, Blacksburg, VA 24060 Phone: 540-961-1058 | |
Dr. Cathleen G Callahan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Kraft Dr, Blacksburg, VA 24060 Phone: 540-231-0915 Fax: 540-231-5367 | |
Margarita Angela Abrams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 825 Davis St, Ste C, Blacksburg, VA 24060 Phone: 540-251-0980 Fax: 540-251-0985 | |
Nikola Alexander Letham, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 826 Davis St, Blacksburg, VA 24060 Phone: 540-443-0500 Fax: 540-553-0526 |