NPI 1093750879 · live from the CMS NPI Registry
Gyn Oncology Of Southwest Virginia LLC
Obstetrics & Gynecology, Gynecologic Oncology in Salem, VA. National Provider Identifier 1093750879, active.
NPI record
| NPI | 1093750879 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X |
| Practice location | 1900 Electric Rd, Suite 200, Salem, VA 24153 |
| Practice phone | 540-776-4704 |
| Mailing address | 2000 Health Park Dr, Brentwood, TN 37027 |
| Enumerated | June 17, 2006 |
| Last updated | November 20, 2025 |
| Authorized official | Suzanne Bergamo, Vp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology primary | 207VX0201X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.