Mountain States Health Alliance
NPI #1811704448 in Pennington Gap, Virginia
Provider Information
- NPI Number
- 1811704448
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- Registered Nurse - Wound Care
- Enumeration Date
- Dec 17, 2024
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 127 HEALTH CARE DR
- City
- Pennington Gap
- State
- Virginia
- ZIP Code
- 24277-2853
- Phone
- (276) 546-6492
Authorized Official
- Name
- JUANITA L HARWOOD
- Title
- DIRECTOR
- Phone
- (423) 302-6565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Registered Nurse - Wound Care — Wound Care |
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