Provider Demographics
NPI:1063491132
Name:ABINGDON PHYSICIAN PARTNERS
Entity Type:Organization
Organization Name:ABINGDON PHYSICIAN PARTNERS
Other - Org Name:MOUNTAIN GASTROENTEROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-623-8133
Mailing Address - Street 1:351 COURT ST
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2921
Mailing Address - Country:US
Mailing Address - Phone:276-623-8133
Mailing Address - Fax:276-623-2471
Practice Address - Street 1:108 ABINGDON PL
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-5197
Practice Address - Country:US
Practice Address - Phone:276-623-8133
Practice Address - Fax:276-623-2471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABINGDON PHYSICIAN PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-17
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1306944350OtherGROUP NPI
1306944350OtherGROUP NPI