Provider Demographics
NPI:1235641465
Name:NEW RIVER VALLEY MEDICINE, P.C.
Entity Type:Organization
Organization Name:NEW RIVER VALLEY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARD
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:703-475-7633
Mailing Address - Street 1:141 EAST MAIN STREET
Mailing Address - Street 2:SUITE 420
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301
Mailing Address - Country:US
Mailing Address - Phone:703-298-5489
Mailing Address - Fax:
Practice Address - Street 1:141 EAST MAIN STREET
Practice Address - Street 2:SUITE 420
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301
Practice Address - Country:US
Practice Address - Phone:703-298-5489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty