Burnt Chimney Family Medicine, P.c. | |
6675 Booker T. Washington Hwy Wirtz VA 24184-4128 | |
(540) 721-2118 | |
Not Available |
Full Name | Burnt Chimney Family Medicine, P.c. |
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Speciality | Family Medicine |
Location | 6675 Booker T. Washington Hwy, Wirtz, Virginia |
Authorized Official Name and Position | George H Chaconas (PRESIDENT) |
Authorized Official Contact | 5407212118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burnt Chimney Family Medicine, P.c. Po Box 8310 Roanoke VA 24014-0310 Ph: () - | Burnt Chimney Family Medicine, P.c. 6675 Booker T. Washington Hwy Wirtz VA 24184-4128 Ph: (540) 721-2118 |
NPI Number | 1306123468 |
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Provider Enumeration Date | 11/03/2011 |
Last Update Date | 11/03/2011 |
Identifier | Type | State | Issuer |
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1306123468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |