Provider Demographics
NPI:1801202262
Name:CVNL ONE, PC
Entity Type:Organization
Organization Name:CVNL ONE, PC
Other - Org Name:CENTRAL VIRGINIA NEUROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCCRARY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:434-947-3920
Mailing Address - Street 1:2138 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1400
Mailing Address - Country:US
Mailing Address - Phone:434-947-3920
Mailing Address - Fax:434-947-3924
Practice Address - Street 1:2138 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1400
Practice Address - Country:US
Practice Address - Phone:434-947-3920
Practice Address - Fax:434-947-3924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA20688207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty