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Specialty details in registry · Bassett, VA

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At a glance

1713 Sunset Dr, Bassett, VA 24055-4834

NPPES record updated Aug 13, 2015. Public records can lag behind changes at a practice.

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Practice location

1713 Sunset Dr
Bassett, VA 24055-4834

Professional details: NPI, taxonomy & registry record

NPI1730555780

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 302R00000X
Enumeration date: Aug 13, 2015
Record updated: Aug 13, 2015

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

302R00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1713 Sunset Dr
Bassett, VA 24055-4834

Phone: (276) 421-2156
Fax: (276) 421-2157

Mailing address

1713 SUNSET DR

BASSETT, VA 240554834

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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