VIDANT MEDICAL GROUP LLC is a non pharmacy dispensing site in Ahoskie, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) VIDANT MEDICAL GROUP LLC NPI is 1659742690. The provider is registered as an organization entity type.
The provider Is Doing Business As Vidant Immediate Care Ahoskie.
The provider's business location address is:
226 ACADEMY ST S
AHOSKIE, NC
ZIP 27910-451
Phone: (252) 209-3911
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.
The CLIA number assigned to this NPI record is 34D2102745 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2015 and was last updated on 10/16/2015.