| Green Valley Clinic | |
|
20055 Brocks Gap Rd Bergton VA 22811 | |
| (540) 852-3227 | |
| (540) 852-3257 |
| Full Name | Green Valley Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 20055 Brocks Gap Rd, Bergton, Virginia |
| Authorized Official Name and Position | Linford Kulp Gehman (OWNER) |
| Authorized Official Contact | 5408523227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Clinic 20055 Brocks Gap Rd Bergton VA 22811 Ph: (540) 852-3227 | Green Valley Clinic 20055 Brocks Gap Rd Bergton VA 22811 Ph: (540) 852-3227 |
| NPI Number | 1720141302 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720141302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101019956 (Virginia) | Primary |
| 363A00000X | Physician Assistant | 0110840592 (Virginia) | Primary |
| 207Q00000X | Family Medicine | (Virginia) | Primary |