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291 Mcbride Ln Gretna VA 24557-2773 | |
(434) 656-1274 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 291 Mcbride Ln, Gretna, Virginia |
Authorized Official Name and Position | Joseph Koons (MANAGING DIRECTOR REVENUE CYCLE) |
Authorized Official Contact | 4342005047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2010 Atherholt Rd Lynchburg VA 24501-1106 Ph: () - | 291 Mcbride Ln Gretna VA 24557-2773 Ph: (434) 656-1274 |
NPI Number | 1013031368 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 11/17/2015 |
Identifier | Type | State | Issuer |
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1013031368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |