| Ferrum College Sports Medicine | |
|
590 Ferrum Mountain Rd Hank Norton Center Ferrum VA 24088 | |
| (540) 365-4493 | |
| (972) 367-3451 |
| Full Name | Ferrum College Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 590 Ferrum Mountain Rd, Ferrum, Virginia |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 8005559073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferrum College Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Ferrum College Sports Medicine 590 Ferrum Mountain Rd Hank Norton Center Ferrum VA 24088 Ph: (540) 365-4493 |
| NPI Number | 1063802890 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063802890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Tri Area Community Health At Ferrum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Ferrum Mountain Rd, Ferrum, VA 24088 Phone: 540-365-4469 Fax: 540-365-4272 |