| Advanced Virtual Healthcare Llc | |
|
177 Squirrel Den Rd Rutherfordton NC 28139-3237 | |
| (910) 465-2209 | |
| Not Available |
| Full Name | Advanced Virtual Healthcare Llc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 177 Squirrel Den Rd, Rutherfordton, North Carolina |
| Authorized Official Name and Position | John Kosmeh (FOUNDER/CEO) |
| Authorized Official Contact | 9104652209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Virtual Healthcare Llc 177a Squirrel Den Rd Rutherfordton NC 28139-3237 Ph: (910) 465-2209 | Advanced Virtual Healthcare Llc 177 Squirrel Den Rd Rutherfordton NC 28139-3237 Ph: (910) 465-2209 |
| NPI Number | 1386472538 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386472538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Primary |
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