Banister River Emergency Physicians LLC
NPI #1205381621 in South Boston, Virginia
Provider Information
- NPI Number
- 1205381621
- Entity Type
- Organization
- Organization Name
- Banister River Emergency Physicians LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Aug 16, 2016
- Last Updated
- Aug 16, 2016
Practice Location
- Address
- 2204 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1645
- Phone
- (469) 401-2386
Authorized Official
- Name
- GREGORY J BYRNE, MD
- Title
- PRESIDENT
- Phone
- (469) 401-2386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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