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424 S 3rd St Shenandoah VA 22849-1714 | |
(540) 652-8914 | |
(540) 652-1372 |
Full Name | |
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Speciality | Family Medicine |
Location | 424 S 3rd St, Shenandoah, Virginia |
Authorized Official Name and Position | Renee Baker (INSURANCE CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5405360231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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424 S 3rd St Shenandoah VA 22849-1714 Ph: (540) 652-8914 | 424 S 3rd St Shenandoah VA 22849-1714 Ph: (540) 652-8914 |
NPI Number | 1578833984 |
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Provider Enumeration Date | 01/03/2012 |
Last Update Date | 01/03/2012 |
Identifier | Type | State | Issuer |
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1578833984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |