| Msmg Im Leb | |
|
71 South Flannagan Ave Lebanon VA 24266-4515 | |
| (276) 883-8030 | |
| (276) 883-8034 |
| Full Name | Msmg Im Leb |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 South Flannagan Ave, Lebanon, Virginia |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4239155116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msmg Im Leb Po Box 3700 Johnson City TN 37602-3700 Ph: (866) 397-1439 | Msmg Im Leb 71 South Flannagan Ave Lebanon VA 24266-4515 Ph: (276) 883-8030 |
| NPI Number | 1891958617 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891958617 | NPI | - | NPPES |
| 1891958617 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Merit Medical Rhc Lebanon Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 West Main Street, Lebanon, VA 24266 Phone: 276-889-0035 Fax: 276-889-2044 | |
Bhrhc Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 344 Overlook Dr Ste 100, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Msmg Rural Health Cliinic Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Carroll St Suite 3, Dept Of Russell County Medical Center, Lebanon, VA 24266 Phone: 276-883-8340 Fax: 276-883-8341 | |
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