| Blackstone Family Practice Center | |
|
213 N Main St Blackstone VA 23824-1425 | |
| (434) 292-7261 | |
| (434) 298-0908 |
| Full Name | Blackstone Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 213 N Main St, Blackstone, Virginia |
| Authorized Official Name and Position | George O Butler (DIRECTOR CORPORATE REPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Family Practice Center 213 N Main St Blackstone VA 23824-1425 Ph: (434) 292-7261 | Blackstone Family Practice Center 213 N Main St Blackstone VA 23824-1425 Ph: (434) 292-7261 |
| NPI Number | 1881971125 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881971125 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Blackstone Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Blackstone, VA 23824 Phone: 434-292-7261 Fax: 434-292-7965 | |
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Blackstone Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Blackstone, VA 23824 Phone: 434-292-7261 Fax: 434-298-0908 |