Fancy Gap Internal Medicine | |
1661 Turner Spur Rd Fancy Gap VA 24328-4365 | |
(276) 728-0735 | |
(276) 728-7717 |
Full Name | Fancy Gap Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 1661 Turner Spur Rd, Fancy Gap, Virginia |
Authorized Official Name and Position | Susan Tracy Roberts (NURSE PRACTITIONER) |
Authorized Official Contact | 3367077734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fancy Gap Internal Medicine 1661 Turner Spur Rd Fancy Gap VA 24328-4365 Ph: (276) 728-0735 | Fancy Gap Internal Medicine 1661 Turner Spur Rd Fancy Gap VA 24328-4365 Ph: (276) 728-0735 |
NPI Number | 1376940643 |
---|---|
Provider Enumeration Date | 12/02/2014 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376940643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (North Carolina) | Primary |