Lawrenceville Primary Care Pc | |
203 Sharp St Lawrenceville VA 23868 | |
(434) 848-0771 | |
(434) 848-3415 |
Full Name | Lawrenceville Primary Care Pc |
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Speciality | Internal Medicine |
Location | 203 Sharp St, Lawrenceville, Virginia |
Authorized Official Name and Position | Christopher J. Ackerman (PRESIDENT) |
Authorized Official Contact | 4348480771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrenceville Primary Care Pc Po Box 459 Lawrenceville VA 23868-0459 Ph: (434) 848-0771 | Lawrenceville Primary Care Pc 203 Sharp St Lawrenceville VA 23868 Ph: (434) 848-0771 |
NPI Number | 1881624682 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 10/15/2007 |
Medicare PECOS PAC ID | 4385540715 |
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Medicare Enrollment ID | O20031208000904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881624682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101044297 (Virginia) | Primary |
207R00000X | Internal Medicine | 0101237185 (Virginia) | Secondary |
Provider Name | Freeman Hugh Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912029059 PECOS PAC ID: 4981649241 Enrollment ID: I20050627001078 |
Provider Name | Christopher J Ackerman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285626481 PECOS PAC ID: 4183520513 Enrollment ID: I20110214000041 |
Provider Name | Linda H Mangum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144352451 PECOS PAC ID: 6103084546 Enrollment ID: I20120215000084 |
Brunswick Family Practice Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 West Church Street, Lawrenceville, VA 23868 Phone: 434-848-0072 Fax: 434-848-0141 |