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NPI Code Detail

MEDICARE: JOHN T. VENUS MD

MEDICARE: JOHN T. VENUS MD
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
1207V00000XObstetrics & Gynecology Physician200400614NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245204130
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN T. VENUS MD
Provider Business Mailing Address
First Line : 150 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-835-5945
Fax Number : 336-835-5974
Provider Business Practice Location Address
First Line : 150 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-835-5945
Fax Number : 336-835-5974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/13/2016

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