| Dba Russell County Medical Center | |
|
58 Carroll Steet Lebanon VA 24266 | |
| (276) 883-8471 | |
| (276) 883-8475 |
| Full Name | Dba Russell County Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 58 Carroll Steet, Lebanon, Virginia |
| Authorized Official Name and Position | C Steven Kilgore (VICE PRESIDENT) |
| Authorized Official Contact | 4399155185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Russell County Medical Center Po Box 3600 Lebanon VA 24266-0200 Ph: (276) 883-8471 | Dba Russell County Medical Center 58 Carroll Steet Lebanon VA 24266 Ph: (276) 883-8471 |
| NPI Number | 1700054095 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700054095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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