Provider Demographics
NPI:1093760597
Name:INTERNAL MEDICINE ASSOCIATES LTD
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPAINHOUR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:434-792-4041
Mailing Address - Street 1:101 HOLBROOK ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1732
Mailing Address - Country:US
Mailing Address - Phone:434-792-4041
Mailing Address - Fax:434-792-0124
Practice Address - Street 1:101 HOLBROOK ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1732
Practice Address - Country:US
Practice Address - Phone:434-792-4041
Practice Address - Fax:434-792-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty