General Thoracic Surgery Pc

LBN: General Thoracic Surgery Pc
General Thoracic Surgery Pc is an health care organization with primary practice located at 3150 Clinch St Suite 104, Richlands VA 24641-2159. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. General Thoracic Surgery Pc can be contacted via phone (276) 596-6715, or through Oduntan, Olusola O via phone (276) 596-6715.

Contact Information

Primary practice address
3150 Clinch St Suite 104 Richlands VA 24641-2159
Phone: (276) 596-6715
Fax: (276) 596-6717
Website:
Map and Directions
Authorized official contact:
Name: Oduntan, Olusola O Doctor of Medicine (MD)
Phone: (276) 596-6715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101240724 Virginia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 0101240724 Virginia

Profile Details

NPI number 1407006018
LBN Legal business name General Thoracic Surgery Pc
DBA Doing business as
Authorized official Oduntan, Olusola O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407006018 NPPES
Virginia Other 1174592125 INDIVIDUAL NPI

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