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1220 W Gretna Rd Gretna VA 24557-4087 | |
(434) 656-1274 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1220 W Gretna Rd, Gretna, Virginia |
Authorized Official Name and Position | Tammy Tweedy (DIRECTOR) |
Authorized Official Contact | 4349475047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1204 Fenwick Dr Lynchburg VA 24502-2112 Ph: () - | 1220 W Gretna Rd Gretna VA 24557-4087 Ph: (434) 656-1274 |
NPI Number | 1093750861 |
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Provider Enumeration Date | 06/17/2006 |
Last Update Date | 03/04/2008 |
Identifier | Type | State | Issuer |
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1093750861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |