Grundy Internal Medicine, PC
Organization Active NPI Internal Medicine Physician · Grundy, VA
NPI 1043339989 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1043339989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101049088 (VA)
- Legal business name
- GRUNDY INTERNAL MEDICINE, PC
- Practice address
- 1532 Slate Creek Road
Ste 203
Grundy, VA 24614 - Phone
- (276) 935-4858
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan McNutt
- Title
- Billing Manager
- Phone
- (276) 935-4858
National Provider Directory
Locations
1532 Slate Creek Rd
Ste 203
Grundy, VA 24614
Phone (276) 935-4858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 0101049088 | VA | Yes |
Addresses
Primary practice location
1532 Slate Creek Road
Ste 203
Grundy, VA 24614
Mailing address
PO Box 2855
Grundy, VA 24614-2855
Phone (276) 935-4858
Other providers in Grundy, VA
- David Allen Gettman
- Haley Reed Gibson
- Janice Goff
- Maragret L Goss
- Aleshia Grizzle
- Grundy Life Care Corp
- H&H Haven LLC
- Trishia Gail Hagerman-Payne
- Megan Hall
- Pamela D Harrison
All providers in Grundy, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.