Tanglewood Family Medicine Pc | |
9782 Hwy 903 Bracey VA 23919-1991 | |
(434) 636-6903 | |
(434) 636-3826 |
Full Name | Tanglewood Family Medicine Pc |
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Speciality | Family Medicine |
Location | 9782 Hwy 903, Bracey, Virginia |
Authorized Official Name and Position | Paul A Bailey (P VP S T) |
Authorized Official Contact | 4346366903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tanglewood Family Medicine Pc 9782 Hwy 903 Bracey VA 23919-1991 Ph: (434) 636-6903 | Tanglewood Family Medicine Pc 9782 Hwy 903 Bracey VA 23919-1991 Ph: (434) 636-6903 |
NPI Number | 1326099219 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 08/05/2008 |
Identifier | Type | State | Issuer |
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1326099219 | NPI | - | NPPES |
CL0333 | Other | MEDICARE RAILROAD GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |