Organization Name: | APOGEE MEDICAL GROUP, WEST VIRGINIA, PLLC |
NPI Number: | 1669708442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN GREGORY (CIO) |
Mailing Address: | 500 Cherry St Bluefield |
State: | WV US |
Postal Code: | 247013306 |
Phone Number: | 3043271100 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 10/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |