| The Carson Black Lung Research And Education Center | |
|
40518 W Morgan Ave Pennington Gap VA 24277-1822 | |
| (252) 452-6075 | |
| (276) 318-0298 |
| Full Name | The Carson Black Lung Research And Education Center |
|---|---|
| Speciality | Clinic/center |
| Location | 40518 W Morgan Ave, Pennington Gap, Virginia |
| Authorized Official Name and Position | Rodney Terry (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2524526075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Carson Black Lung Research And Education Center 850 Riverview Ave Fl 3 Pineville KY 40977-1452 Ph: (252) 452-4080 | The Carson Black Lung Research And Education Center 40518 W Morgan Ave Pennington Gap VA 24277-1822 Ph: (252) 452-6075 |
| NPI Number | 1558846261 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558846261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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