| |
16000 Johnston Memorial Dr Ste 304 Abingdon VA 24211-7664 | |
(276) 258-3600 | |
(276) 258-3605 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
Authorized Official Contact | 4233023051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16000 Johnston Memorial Dr Ste 304 Abingdon VA 24211-7664 Ph: (276) 258-3600 | 16000 Johnston Memorial Dr Ste 304 Abingdon VA 24211-7664 Ph: (276) 258-3600 |
NPI Number | 1407142813 |
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Provider Enumeration Date | 06/23/2011 |
Last Update Date | 03/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407142813 | NPI | - | NPPES |
Q003310 | Medicaid | TN | |
1407142813 | Medicaid | VI | |
020487834 | Other | VA | DEPARTMENT OF LABOR/FECA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Abingdon Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Campus Dr, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Wolf Creek Trl, Abingdon, VA 24210 Phone: 877-367-9772 | |
Med-peds Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Johnson St Ne, Abingdon, VA 24210 Phone: 276-623-8105 Fax: 276-623-8109 | |
Preston Square Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24294 Teal Drive, Abingdon, VA 24211 Phone: 276-628-8303 Fax: 276-466-4815 |