Provider Demographics
NPI:1538837760
Name:GEC MEDICAL LLC
Entity type:Organization
Organization Name:GEC MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANET
Authorized Official - Last Name:MOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-619-1140
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-0549
Mailing Address - Country:US
Mailing Address - Phone:276-619-1140
Mailing Address - Fax:276-884-6713
Practice Address - Street 1:16325 TAYLOR PL STE 300
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7643
Practice Address - Country:US
Practice Address - Phone:276-619-1140
Practice Address - Fax:276-883-6713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty