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NPI Code Detail

MEDICARE: MARTINSVILLE UROLOGIC CLINIC PC

MEDICARE: MARTINSVILLE UROLOGIC CLINIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12088P0231XPediatric Urology Physician

General Provider Information

NPI Number : 1073667630
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINSVILLE UROLOGIC CLINIC PC
Provider Business Mailing Address
First Line : 15 CLEVELAND AVE
Second Line : SUITE 15
City : MARTINSVILLE
State : VA
Zip : 24112-2937
Country : US
Telephone Number : 276-634-5000
Fax Number : 276-634-5229
Provider Business Practice Location Address
First Line : 15 CLEVELAND AVE
Second Line : SUITE 15
City : MARTINSVILLE
State : VA
Zip : 24112-2937
Country : US
Telephone Number : 276-634-5000
Fax Number : 276-634-5229
Authorized Official
Title or Position : OFFICER
Name : DR. GEORGE SAMUEL HURT III
Credential : M.D.
Telephone Number : 276-634-5000
Provider Enumeration Date : 01/22/2007
Last Update Date : 06/26/2009

Similar Medicare Providers

1649271602 — DR. CODY M DRAKE DPM
Practice Location Address:
15 CLEVELAND AVE , SUITE 9
MARTINSVILLE, VA
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Practice Phone: 276-632-5280
Practice Fax: 276-632-5257
1679562102 — DR. JOHN J ENGEL MD
Practice Location Address:
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1578552006 — DR. DAVID W SEAMON MD
Practice Location Address:
15 CLEVELAND AVE , SUITE 14
MARTINSVILLE, VA
24112-2937
Practice Phone: 276-632-9714
Practice Fax: 276-632-0620
1093770521 — PIEDMONT PODIATRY ASSOCIATES
Practice Location Address:
15 CLEVELAND AVE , SUITE 9
MARTINSVILLE, VA
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Practice Fax: 276-632-5257
1972556959 — MRS. ESTHER C REYNOLDS LPC
Practice Location Address:
15 CLEVELAND AVE STE 2A
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1134342827 — CHILDREN'S MEDICAL CENTER LABORATORY
Practice Location Address:
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Practice Phone: 276-632-9714
Practice Fax: 276-632-0620

Directions to “MARTINSVILLE UROLOGIC CLINIC PC ” Practice Location

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