| Pulaski Medical, Llc | |
|
1006 E Main St 1006 Pulaski VA 24301-5218 | |
| (540) 980-1125 | |
| (540) 908-1127 |
| Full Name | Pulaski Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1006 E Main St, Pulaski, Virginia |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulaski Medical, Llc 1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 Ph: (856) 439-6111 | Pulaski Medical, Llc 1006 E Main St 1006 Pulaski VA 24301-5218 Ph: (540) 980-1125 |
| NPI Number | 1558607481 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 4880021427 |
|---|---|
| Medicare Enrollment ID | O20200220003120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558607481 | NPI | - | NPPES |
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