Healthcare Provider Details

I. General information

NPI: 1447267430
Provider Name (Legal Business Name): JEFFERSON BARTHOLOMEW GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 FRANKLIN ST STE 104
WEYERS CAVE VA
24486
US

IV. Provider business mailing address

PO BOX 39
WEYERS CAVE VA
24486-0039
US

V. Phone/Fax

Practice location:
  • Phone: 540-234-0080
  • Fax: 540-234-8688
Mailing address:
  • Phone: 540-234-0080
  • Fax: 540-234-8688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BART W BALINT
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 540-234-0080