Wildwood Emergency Group, LLC

NPI #1013409721 in Blacksburg, Virginia

Provider Information

NPI Number: 1013409721
Entity Type: Organization
Organization Name: Wildwood Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 30, 2018
Last Updated: Oct 4, 2024

Practice Location

Address: 3700 S MAIN ST
City: Blacksburg
State: Virginia
ZIP Code: 24060-7017
Phone: (540) 951-1111

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Emergency Medicine	207P00000X	Primary

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