| Brunswick Family Practice Ltd | |
|
319 West Church Street Lawrenceville VA 23868 | |
| (434) 848-0072 | |
| (434) 848-0141 |
| Full Name | Brunswick Family Practice Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 319 West Church Street, Lawrenceville, Virginia |
| Authorized Official Name and Position | William H Harrison (PRESIDENT) |
| Authorized Official Contact | 4348480072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Family Practice Ltd Post Office Box 748 319 West Church Street Lawrenceville VA 23868 Ph: (434) 848-0072 | Brunswick Family Practice Ltd 319 West Church Street Lawrenceville VA 23868 Ph: (434) 848-0072 |
| NPI Number | 1235208711 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/15/2008 |
| Medicare PECOS PAC ID | 8729116223 |
|---|---|
| Medicare Enrollment ID | O20100504000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235208711 | NPI | - | NPPES |
| 092366 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 005630576 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038490 (Virginia) | Primary |
| Provider Name | William H Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275710204 PECOS PAC ID: 3072641570 Enrollment ID: I20100504000313 |
Lawrenceville Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Sharp St, Lawrenceville, VA 23868 Phone: 434-848-0771 Fax: 434-848-3415 |