| Emdee Clinica | |
|
23164 Kestrel Dr Bristol VA 24202 | |
| (423) 341-3040 | |
| Not Available |
| Full Name | Emdee Clinica |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 23164 Kestrel Dr, Bristol, Virginia |
| Authorized Official Name and Position | Debra Lynn Harman (FOUNDER/PHYSICIAN) |
| Authorized Official Contact | 4233413040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emdee Clinica 23164 Kestrel Dr Bristol VA 24202-5070 Ph: (423) 341-3040 | Emdee Clinica 23164 Kestrel Dr Bristol VA 24202 Ph: (423) 341-3040 |
| NPI Number | 1154462117 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154462117 | NPI | - | NPPES |
| 386590 | Other | VA | ANTHEM, BC/BS OF VIRGINIA |
| P00042666 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101052898 (Virginia) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 37264 (Tennessee) | Secondary |
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