Jackson River Enterprises, Inc.
Specialty details in registry · Covington, VA
At a glance
825 W Edgemont Dr, Covington, VA 24426-2759
NPPES record updated Aug 12, 2008. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
825 W Edgemont DrCovington, VA 24426-2759
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251C00000X
- Enumeration date
- Aug 1, 2006
- Record updated
- Aug 12, 2008
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
170300000X
Specialty details in registry
251C00000X · Primary
License reported: 010173515 VA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
825 W Edgemont DrCovington, VA 24426-2759
- Phone
- (540) 962-3441
- Fax
- (540) 965-8530
Mailing address
825 W EDGEMONT DRCOVINGTON, VA 244262759
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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