Provider Demographics
NPI:1205017027
Name:CLAUDIA METHVIN, MD, PLLC
Entity Type:Organization
Organization Name:CLAUDIA METHVIN, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:HILBURN
Authorized Official - Last Name:METHVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-459-7757
Mailing Address - Street 1:227 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1451
Mailing Address - Country:US
Mailing Address - Phone:540-459-7757
Mailing Address - Fax:540-459-7971
Practice Address - Street 1:227 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1451
Practice Address - Country:US
Practice Address - Phone:540-459-7757
Practice Address - Fax:540-459-7971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09100Medicare PIN