Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Virginia Neurospine PC

Organization Neurological Surgery Physician · NPI 1356893879

Virginia Neurospine PC is a Neurological Surgery Physician in Forest, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1019A Vista Park Dr
Forest, VA 24551-4901
Phone: (434) 200-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 0101250836 (VA)

Record details

NPI number1356893879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dialntha Ellegala — Owner · (434) 200-9009
NPI enumeratedNovember 1, 2016
Last updated in NPPESNovember 1, 2016
Mailing address1019a Vista Park Dr, Forest, VA 24551-4901

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