| Cmg Southside Pulmonology | |
|
800 Oak St Farmville VA 23901-1199 | |
| (434) 315-2880 | |
| Not Available |
| Full Name | Cmg Southside Pulmonology |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Oak St, Farmville, Virginia |
| Authorized Official Name and Position | Joshua Larkin (PAYER CREDENTIALING MANAGER) |
| Authorized Official Contact | 4342005047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Southside Pulmonology 1937 Thomson Dr Lynchburg VA 24501-1008 Ph: () - | Cmg Southside Pulmonology 800 Oak St Farmville VA 23901-1199 Ph: (434) 315-2880 |
| NPI Number | 1336638865 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336638865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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