| Mountain Medical Clinic Pc | |
|
144 Seddon St Bland VA 24315-5365 | |
| (276) 688-4800 | |
| (276) 688-4805 |
| Full Name | Mountain Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 Seddon St, Bland, Virginia |
| Authorized Official Name and Position | Padmaja Pam Polavarapu (PRESIDENT) |
| Authorized Official Contact | 2766884800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Medical Clinic Pc 144 Seddon St Bland VA 24315-5365 Ph: (276) 688-4800 | Mountain Medical Clinic Pc 144 Seddon St Bland VA 24315-5365 Ph: (276) 688-4800 |
| NPI Number | 1962498899 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962498899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Orchard Creek Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8494 S Scenic Hwy, Bland, VA 24315 Phone: 276-688-0500 Fax: 276-688-4336 |