| |
606 E Stuart Dr Galax VA 24333-2317 | |
(276) 236-8166 | |
(276) 236-5247 |
Full Name | |
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Speciality | Clinic/Center |
Location | 606 E Stuart Dr, Galax, Virginia |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 606 E Stuart Dr Galax VA 24333-2317 Ph: (276) 236-8166 |
NPI Number | 1831837095 |
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Provider Enumeration Date | 05/26/2022 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 7214199512 |
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Medicare Enrollment ID | O20220706000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831837095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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