| James J Mcconnell Md Pc | |
|
365 W Ridge Rd Wytheville VA 24382-1008 | |
| (276) 228-8951 | |
| (276) 228-2019 |
| Full Name | James J Mcconnell Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 365 W Ridge Rd, Wytheville, Virginia |
| Authorized Official Name and Position | Pamela Sabatino Mcconnell (VICE PRESIDENT) |
| Authorized Official Contact | 2762284044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Mcconnell Md Pc 365 W Ridge Rd Wytheville VA 24382-1008 Ph: (276) 228-8951 | James J Mcconnell Md Pc 365 W Ridge Rd Wytheville VA 24382-1008 Ph: (276) 228-8951 |
| NPI Number | 1821314311 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Medicare PECOS PAC ID | 7911038278 |
|---|---|
| Medicare Enrollment ID | O20100630000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821314311 | NPI | - | NPPES |
| 6081916 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101024668 (Virginia) | Primary |
| Provider Name | James J Mcconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326027012 PECOS PAC ID: 2365573623 Enrollment ID: I20100630000312 |
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