Access Healthcare Multi-specialty Group, Pllc | |
2103 Graves Mill Rd Forest VA 24551-2675 | |
(434) 316-7199 | |
(434) 316-6185 |
Full Name | Access Healthcare Multi-specialty Group, Pllc |
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Speciality | Family Medicine |
Location | 2103 Graves Mill Rd, Forest, Virginia |
Authorized Official Name and Position | Andrew William Pieleck (OWNER) |
Authorized Official Contact | 4343167199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Healthcare Multi-specialty Group, Pllc 2103 Graves Mill Rd Forest VA 24551-2675 Ph: (434) 316-7199 | Access Healthcare Multi-specialty Group, Pllc 2103 Graves Mill Rd Forest VA 24551-2675 Ph: (434) 316-7199 |
NPI Number | 1245709088 |
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Provider Enumeration Date | 11/23/2018 |
Last Update Date | 11/23/2018 |
Medicare PECOS PAC ID | 4789922790 |
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Medicare Enrollment ID | O20190218002187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245709088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | David Middleton Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801887344 PECOS PAC ID: 4688653801 Enrollment ID: I20100611000272 |
Provider Name | Andrew W Pieleck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821226937 PECOS PAC ID: 2961645700 Enrollment ID: I20130827000560 |
Provider Name | Taylor Nicole Henry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639896137 PECOS PAC ID: 7214304880 Enrollment ID: I20221110002487 |
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