| |
20304 Timberlake Rd Lynchburg VA 24502-7222 | |
(434) 237-6471 | |
(434) 237-8810 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 20304 Timberlake Rd, Lynchburg, Virginia |
Authorized Official Name and Position | Matthew A Johnson (PRESIDENT) |
Authorized Official Contact | 4348467374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 2489 Forest VA 24551-6489 Ph: (434) 382-1125 | 20304 Timberlake Rd Lynchburg VA 24502-7222 Ph: (434) 237-6471 |
NPI Number | 1720175961 |
---|---|
Provider Enumeration Date | 10/09/2006 |
Last Update Date | 06/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720175961 | NPI | - | NPPES |
1528155892 | Other | VA | CVFP CORPORATE NPI |
CC2392 | Other | VA | MEDICARE RAILROAD |
1528155892 | Medicaid | VA | |
C03658 | Other | VA | CVFP MCARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ptc Wellness Centers Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2832 Candlers Mtn Rd, Lynchburg, VA 24502 Phone: 434-455-1550 Fax: 434-455-1556 | |
Liberty Mountain Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Wards Rd, Lynchburg, VA 24502 Phone: 434-582-2273 Fax: 434-582-1363 | |
Deborah Armstrong Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Two Creek Dr, Lynchburg, VA 24502 Phone: 804-539-4031 | |