Mountain Springs Family Practice Llc | |
9104 Floyd Hwy N Copper Hill VA 24079-2114 | |
(540) 929-9095 | |
(540) 929-9003 |
Full Name | Mountain Springs Family Practice Llc |
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Speciality | Clinic/center - Primary Care |
Location | 9104 Floyd Hwy N, Copper Hill, Virginia |
Authorized Official Name and Position | Jean Marie Black (FAMILY NURSE PRACTITIONER MEMBER) |
Authorized Official Contact | 5409299095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Springs Family Practice Llc 9104 Floyd Hwy N Copper Hill VA 24079-2114 Ph: (540) 929-9095 | Mountain Springs Family Practice Llc 9104 Floyd Hwy N Copper Hill VA 24079-2114 Ph: (540) 929-9095 |
NPI Number | 1023125986 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1023125986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |