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2832 Candlers Mountain Rd Lynchburg VA 24502-2210 | |
(434) 239-3949 | |
(434) 239-6982 |
Full Name | |
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Speciality | Family Medicine |
Location | 2832 Candlers Mountain Rd, Lynchburg, Virginia |
Authorized Official Name and Position | Mathew W Tatom (OWNER) |
Authorized Official Contact | 4342393949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2832 Candlers Mountain Rd Lynchburg VA 24502-2210 Ph: (434) 239-3949 | 2832 Candlers Mountain Rd Lynchburg VA 24502-2210 Ph: (434) 239-3949 |
NPI Number | 1427131465 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 09/05/2014 |
Identifier | Type | State | Issuer |
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1427131465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ptc Wellness Centers Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2832 Candlers Mtn Rd, Lynchburg, VA 24502 Phone: 434-455-1550 Fax: 434-455-1556 | |
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