Nottoway Innovative Medical Solutions

NPI 1003126756 - Clinic/Center - 261QM1300X

NPI Details
NPI 1003126756
Enumeration Date 10/15/2010
Last Updated 10/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RUDEL RUDEL
Position PRESIDENT
Phone (703) 930-0046
Fax
Practice Location
1279 W 10TH ST STE 116
BLACKSTONE VA, 23824-3071, US
Phone (703) 930-0046
Fax
Business Location
1279 W 10TH ST STE 116
BLACKSTONE VA, 23824-3071, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Nottoway Innovative Medical Solutions NPI is 1003126756, taxonomy code is 261QM1300X Nottoway Innovative Medical Solutions physically located at 1279 W 10th St Ste 116, Blackstone VA, 23824-3071. NPI Number 1033115704 has the healthcare provider type.

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1003126756 NPI number is provided on an as is basis without warranty of any kind. 1003126756 is maintained by the National Plan & Provider Enumeration System. The contents of Nottoway Innovative Medical Solutions are for informational purposes only.