| Novant Health Blacksburg Family Medicine | |
|
303 W Pine St Suite B Blacksburg SC 29702-1549 | |
| (864) 839-3082 | |
| (864) 839-3064 |
| Full Name | Novant Health Blacksburg Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 303 W Pine St, Blacksburg, South Carolina |
| Authorized Official Name and Position | Geoffrey K. Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7043849094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Blacksburg Family Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (864) 487-0155 | Novant Health Blacksburg Family Medicine 303 W Pine St Suite B Blacksburg SC 29702-1549 Ph: (864) 839-3082 |
| NPI Number | 1912154501 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 05/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912154501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Carolina Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 W Pine St, Blacksburg, SC 29702 Phone: 864-839-4325 Fax: 864-839-9901 |