| Prince Squire Medical Center Pc | |
|
219 Weaver Avenue Emporia VA 23847 | |
| (434) 634-4148 | |
| (434) 634-6963 |
| Full Name | Prince Squire Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 219 Weaver Avenue, Emporia, Virginia |
| Authorized Official Name and Position | Peter Weaver Squire (VICE PRESIDENT) |
| Authorized Official Contact | 4346344148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Squire Medical Center Pc 219 Weaver Avenue Emporia VA 23847 Ph: (434) 634-4148 | Prince Squire Medical Center Pc 219 Weaver Avenue Emporia VA 23847 Ph: (434) 634-4148 |
| NPI Number | 1669496030 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669496030 | NPI | - | NPPES |
| 5903779 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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