Commonwealth General Surgery
Organization Active NPI Surgery Physician · South Hill, VA
NPI 1093809352 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1093809352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 0102049972 (VA)
- Legal business name
- COMMONWEALTH GENERAL SURGERY
- Practice address
- 901 Pace Dr
South Hill, VA 23970-1307 - Phone
- (434) 447-3404
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Jack L Forest, MD
- Title
- Owner
- Phone
- (434) 447-3404
Practitioners 1
-
Jack L Forest, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 0102049972 | VA | Yes |
Addresses
Primary practice location
901 Pace Dr
South Hill, VA 23970-1307
Mailing address
PO Box 215
South Hill, VA 23970-0215
Phone (434) 447-3404
Other providers in South Hill, VA
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- Bethanie C Cochran
- Rotesha T Colbert
- Bianca Danielle Coleman
- Comfort of Home Care LLC
- Commonwealth Neuro Specialists PC
- Commonwealth Vein Clinic
- Community Living, Inc
- Community Memorial Healthcenter
- Community Memorial Healthcenter
All providers in South Hill, VA · Surgery 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 Aug 22, 2020. 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.