| |
100 15th St Nw Norton VA 24273-1616 | |
(276) 679-9002 | |
(276) 679-9078 |
Full Name | |
---|---|
Speciality | Hospitalist |
Location | 100 15th St Nw, Norton, 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 |
---|---|
100 15th St Nw Norton VA 24273-1616 Ph: (276) 679-9002 | 100 15th St Nw Norton VA 24273-1616 Ph: (276) 679-9002 |
NPI Number | 1164867719 |
---|---|
Provider Enumeration Date | 05/08/2013 |
Last Update Date | 06/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164867719 | NPI | - | NPPES |
DF7910 | Other | VA | RR MEDICARE |
020076700 | Other | VA | DEPARTMENT OF LABOR |
1164867719 | Medicaid | VA |
Community Physicians Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 15th St Nw, Ste 104, Norton, VA 24273 Phone: 276-679-8890 Fax: 276-679-9740 | |
Shahab M. Ehtesham Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Trent St Ne, Norton, VA 24273 Phone: 276-679-4200 Fax: 276-679-4230 | |