| Fork Union Family Medicine | |
|
4064 James Madison Highway Fork Union VA 23055 | |
| (434) 842-3244 | |
| (434) 842-1110 |
| Full Name | Fork Union Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4064 James Madison Highway, Fork Union, Virginia |
| Authorized Official Name and Position | Raymond Oscar Bishop (OWNER) |
| Authorized Official Contact | 6062137895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fork Union Family Medicine Po Box 696 Fork Union VA 23055-0696 Ph: (434) 842-3244 | Fork Union Family Medicine 4064 James Madison Highway Fork Union VA 23055 Ph: (434) 842-3244 |
| NPI Number | 1174971451 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174971451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101233552 (Virginia) | Primary |
Fork Union Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4064 James Madison Highway, Fork Union, VA 23055 Phone: 434-842-3244 Fax: 434-842-1110 |