| Family Doctor, Pllc | |
|
511 Roanoke Blvd Suite B Salem VA 24153-5006 | |
| (540) 389-0092 | |
| (540) 389-0644 |
| Full Name | Family Doctor, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 511 Roanoke Blvd, Salem, Virginia |
| Authorized Official Name and Position | Kristin T Bell (OFFICE MANAGER) |
| Authorized Official Contact | 5403890092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctor, Pllc 511 Roanoke Blvd Suite B Salem VA 24153-5006 Ph: (540) 389-0092 | Family Doctor, Pllc 511 Roanoke Blvd Suite B Salem VA 24153-5006 Ph: (540) 389-0092 |
| NPI Number | 1285845305 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285845305 | NPI | - | NPPES |
| 010173671 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101038249 (Virginia) | Primary |
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