Provider Demographics
NPI:1619154556
Name:PACOT BUILDERS INC
Entity Type:Organization
Organization Name:PACOT BUILDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:PACOT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:434-444-3725
Mailing Address - Street 1:PO BOX 915
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551
Mailing Address - Country:US
Mailing Address - Phone:434-385-0545
Mailing Address - Fax:434-385-4766
Practice Address - Street 1:315 BROOKESTONE DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551
Practice Address - Country:US
Practice Address - Phone:434-385-0545
Practice Address - Fax:434-385-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Multi-Specialty