Lee G Gammon, MD | |
300 Mt Clement Park Ste B, Tappahannock, VA 22560-5098 | |
(804) 443-8670 | |
(804) 443-8675 |
Full Name | Lee G Gammon |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 300 Mt Clement Park Ste B, Tappahannock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295262194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2022-01669 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 0101278242 (Virginia) | Primary |
Entity Name | Mcv Associated Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Lee G Gammon, MD Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844 | Lee G Gammon, MD 300 Mt Clement Park Ste B, Tappahannock, VA 22560-5098 Ph: (804) 443-8670 |
Glenn Jay Spiegler, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 659 Hospital Rd, Suite 202, Tappahannock, VA 22560 Phone: 804-443-4227 | |
Tyler Conway Wind, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Mt Clement Park, Suite B, Tappahannock, VA 22560 Phone: 804-443-8670 Fax: 804-443-8675 |