Organization Name: | COMMUNITY PHYSICIANS SERVICES CORPORATION |
NPI Number: | 1023219904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY JANE STURGILL (PRACTICE MANAGER) |
Mailing Address: | 1418 Park Ave Nw Norton |
State: | VA US |
Postal Code: | 242731602 |
Phone Number: | 2766798867 |
Fax Number: | 2766798869 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |