Stony Hill Internal Medicine Inc | |
11 Smokehouse Drive Suite 101 Fredericksburg VA 22406 | |
(540) 370-0295 | |
(540) 370-0619 |
Full Name | Stony Hill Internal Medicine Inc |
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Speciality | Internal Medicine |
Location | 11 Smokehouse Drive, Fredericksburg, Virginia |
Authorized Official Name and Position | Susan Holland (PHYSICIAN OWNER) |
Authorized Official Contact | 5403700295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stony Hill Internal Medicine Inc 11 Smokehouse Drive Suite 101 Fredericksburg VA 22406 Ph: (540) 370-0295 | Stony Hill Internal Medicine Inc 11 Smokehouse Drive Suite 101 Fredericksburg VA 22406 Ph: (540) 370-0295 |
NPI Number | 1609805480 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 05/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609805480 | NPI | - | NPPES |
010157404 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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