| Salem Family Medicine | |
|
511 Roanoke Blvd Suite 3 Salem VA 24153-5032 | |
| (540) 345-3556 | |
| Not Available |
| Full Name | Salem Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 511 Roanoke Blvd, Salem, Virginia |
| Authorized Official Name and Position | Mark Taylor (PRESIDENT) |
| Authorized Official Contact | 5403453556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Family Medicine Po Box 8310 Roanoke VA 24014-0310 Ph: () - | Salem Family Medicine 511 Roanoke Blvd Suite 3 Salem VA 24153-5032 Ph: (540) 345-3556 |
| NPI Number | 1164850228 |
|---|---|
| Provider Enumeration Date | 10/28/2013 |
| Last Update Date | 11/25/2013 |
| Medicare PECOS PAC ID | 9537397328 |
|---|---|
| Medicare Enrollment ID | O20140127000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164850228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101058096 (Virginia) | Primary |
| Provider Name | Mark M Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801869607 PECOS PAC ID: 6305832114 Enrollment ID: I20040426000184 |
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