| Nottoway Innovative Medical Solutions | |
|
1279 W 10th St Ste 116 Blackstone VA 23824-3071 | |
| (703) 930-0046 | |
| Not Available |
| Full Name | Nottoway Innovative Medical Solutions |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1279 W 10th St Ste 116, Blackstone, Virginia |
| Authorized Official Name and Position | Rudel Chinnery (PRESIDENT) |
| Authorized Official Contact | 7039300046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nottoway Innovative Medical Solutions 1279 W 10th St Ste 116 Blackstone VA 23824-3071 Ph: () - | Nottoway Innovative Medical Solutions 1279 W 10th St Ste 116 Blackstone VA 23824-3071 Ph: (703) 930-0046 |
| NPI Number | 1003126756 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003126756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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