General Thoracic Surgery PC

NPI #1407006018 in Richlands, Virginia

Provider Information

NPI Number: 1407006018
Entity Type: Organization
Organization Name: General Thoracic Surgery PC
Primary Specialty: Surgery
Enumeration Date: Sep 19, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 3150 CLINCH ST
Address 2: SUITE 104
City: Richlands
State: Virginia
ZIP Code: 24641-2159
Phone: (276) 596-6715

Authorized Official

Name: OLUSOLA O ODUNTAN, MD
Title: OWNER
Phone: (276) 596-6715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery	208600000X	Primary

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