Healthcare Provider Details

I. General information

NPI: 1740840537
Provider Name (Legal Business Name): VIERS MEDICAL CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 07/21/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23660 DICKENSON HIGHWAY
HAYSI VA
24256
US

IV. Provider business mailing address

23660 DICKENSON HIGHWAY
HAYSI VA
24256
US

V. Phone/Fax

Practice location:
  • Phone: 276-865-7155
  • Fax: 276-865-7996
Mailing address:
  • Phone: 276-865-7155
  • Fax: 276-865-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HENRY P VIERS
Title or Position: OWNER
Credential: NP
Phone: 276-218-0401