| Christiansburg Internal Medicine Llc | |
|
95 Ponderosa Dr Christiansburg VA 24073-6582 | |
| (540) 381-1882 | |
| Not Available |
| Full Name | Christiansburg Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 95 Ponderosa Dr, Christiansburg, Virginia |
| Authorized Official Name and Position | Kenneth Washington (VP) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christiansburg Internal Medicine Llc 95 Ponderosa Dr Christiansburg VA 24073-6582 Ph: (540) 381-1882 | Christiansburg Internal Medicine Llc 95 Ponderosa Dr Christiansburg VA 24073-6582 Ph: (540) 381-1882 |
| NPI Number | 1376583708 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376583708 | NPI | - | NPPES |
| DF3934 | Other | RR MEDICARE | |
| 1376583708 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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