| NPI | 1679905467 |
|---|---|
| Doing Business As | PERFORMANCE MEDICINE OF SOUTHWEST VIRGINIA, LLC |
| Entity Type | Organization |
| Authorized Contact | DELMAS J BOLIN President 540-772-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2024-05-23 |