Greenbrier Vmc LLC

NPI #1417153172 in Lewisburg, West Virginia

Provider Information

NPI Number: 1417153172
Entity Type: Organization
Organization Name: Greenbrier Vmc LLC
Primary Specialty: Surgery
Enumeration Date: Jun 21, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: RR 2 BOX 171-C
Address 2: GREYROCK PROFESSIONAL PARK
City: Lewisburg
State: West Virginia
ZIP Code: 24901-9318
Phone: (304) 793-2059

Authorized Official

Name: DEBBIE BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine	207R00000X
Surgery	208600000X	Primary

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