Tazewell Family Physicans, Pc | |
123 Ben Bolt Ave Tazewell VA 24651-9700 | |
(276) 988-2526 | |
(276) 988-0956 |
Full Name | Tazewell Family Physicans, Pc |
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Speciality | Clinic/center - Primary Care |
Location | 123 Ben Bolt Ave, Tazewell, Virginia |
Authorized Official Name and Position | Susan H Mackey (OFFICE MANAGER) |
Authorized Official Contact | 2769882526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tazewell Family Physicans, Pc Po Box 645 Tazewell VA 24651-0645 Ph: (276) 988-2526 | Tazewell Family Physicans, Pc 123 Ben Bolt Ave Tazewell VA 24651-9700 Ph: (276) 988-2526 |
NPI Number | 1376548461 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376548461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101030214 (Virginia) | Primary |
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