| Litton Family Medicine Pc | |
|
1800 Combs Rd Suite 7 Pennington Gap VA 24277-1808 | |
| (276) 546-4894 | |
| (276) 546-4896 |
| Full Name | Litton Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Combs Rd, Pennington Gap, Virginia |
| Authorized Official Name and Position | John Scott Litton (CEO) |
| Authorized Official Contact | 2765464894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Litton Family Medicine Pc Po Box 646 1800 Combs Road Suite 7 Pennington Gap VA 24277-0646 Ph: (276) 546-4894 | Litton Family Medicine Pc 1800 Combs Rd Suite 7 Pennington Gap VA 24277-1808 Ph: (276) 546-4894 |
| NPI Number | 1285731463 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 7315992120 |
|---|---|
| Medicare Enrollment ID | O20050315000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285731463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232419 (Virginia) | Primary |
| Provider Name | John Scott Litton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417920984 PECOS PAC ID: 9931154754 Enrollment ID: I20050811000153 |
| Provider Name | Kala Rutherford Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912514209 PECOS PAC ID: 5193144301 Enrollment ID: I20201007001066 |
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