| Oldtown Medical Care, Llc | |
|
306 Meadow St Galax VA 24333 | |
| (276) 236-5300 | |
| Not Available |
| Full Name | Oldtown Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 306 Meadow St, Galax, Virginia |
| Authorized Official Name and Position | Angela H Willey (PRACTICE OWNER) |
| Authorized Official Contact | 2762365300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oldtown Medical Care, Llc 306 Meadow St Galax VA 24333-3020 Ph: (276) 236-5300 | Oldtown Medical Care, Llc 306 Meadow St Galax VA 24333 Ph: (276) 236-5300 |
| NPI Number | 1043558745 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 05/24/2018 |
| Medicare PECOS PAC ID | 9638307754 |
|---|---|
| Medicare Enrollment ID | O20140118000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043558745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joy K Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679592554 PECOS PAC ID: 4789639964 Enrollment ID: I20050321000828 |
| Provider Name | Savannah Tarina Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547193 PECOS PAC ID: 1557604162 Enrollment ID: I20190523000594 |
| Provider Name | Sherry Elaine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952902827 PECOS PAC ID: 4789095225 Enrollment ID: I20201204001145 |
| Provider Name | Britnie Mason Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750028148 PECOS PAC ID: 8820477862 Enrollment ID: I20220621003107 |
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