Healthcare Provider Details

I. General information

NPI: 1326325994
Provider Name (Legal Business Name): CATAWBA VALLEY MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 TERRELL PARK DRIVE SUITE 100
SHERRILLS FORD NC
28673-9413
US

IV. Provider business mailing address

3900 TERRELL PARK DR
SHERRILLS FORD NC
28673-9509
US

V. Phone/Fax

Practice location:
  • Phone: 828-732-5450
  • Fax: 828-732-5451
Mailing address:
  • Phone: 828-732-5450
  • Fax: 828-732-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA GALLAGHER
Title or Position: VP OF FINANCE/CFO
Credential:
Phone: 828-326-3800