| |
118 Oakwood Dr #a Madison Heights VA 24572 | |
(434) 338-7780 | |
(434) 338-7781 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 118 Oakwood Dr, Madison Heights, Virginia |
Authorized Official Name and Position | Karen L Haynes (STAFF CREDENTIALING MANAGER) |
Authorized Official Contact | 4343821139 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
118 Oakwood Dr #a Madison Heights VA 24572 Ph: (434) 338-7780 | 118 Oakwood Dr #a Madison Heights VA 24572 Ph: (434) 338-7780 |
NPI Number | 1922551621 |
---|---|
Provider Enumeration Date | 07/28/2016 |
Last Update Date | 07/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922551621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |