| Family Medicine Of Blacksburg, Llc | |
|
1645 N Main St Blacksburg VA 24060-2554 | |
| (540) 552-1246 | |
| (540) 552-1247 |
| Full Name | Family Medicine Of Blacksburg, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1645 N Main St, Blacksburg, Virginia |
| Authorized Official Name and Position | William Tedrick Johnson (GROUP VP/AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Blacksburg, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Family Medicine Of Blacksburg, Llc 1645 N Main St Blacksburg VA 24060-2554 Ph: (540) 552-1246 |
| NPI Number | 1558550301 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558550301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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