| Atlantic Integrative Medicine Of Harrisonburg, Llc | |
|
410 Neff Ave Harrisonburg VA 22801-5436 | |
| (540) 442-0728 | |
| Not Available |
| Full Name | Atlantic Integrative Medicine Of Harrisonburg, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 410 Neff Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Liezel Claar (OWNER) |
| Authorized Official Contact | 5409085072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Integrative Medicine Of Harrisonburg, Llc 410 Neff Ave Harrisonburg VA 22801-5436 Ph: (540) 442-0728 | Atlantic Integrative Medicine Of Harrisonburg, Llc 410 Neff Ave Harrisonburg VA 22801-5436 Ph: (540) 442-0728 |
| NPI Number | 1235901547 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 9537504279 |
|---|---|
| Medicare Enrollment ID | O20240304002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235901547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua C Carlison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376242628 PECOS PAC ID: 0749626240 Enrollment ID: I20240306003867 |
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