Trillium Medical Group Of Virginia | |
Hwy 58 Dryden VA 24243 | |
(800) 750-8103 | |
(866) 788-0863 |
Full Name | Trillium Medical Group Of Virginia |
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Speciality | Clinic/center - Rural Health |
Location | Hwy 58, Dryden, Virginia |
Authorized Official Name and Position | Bobby L Coates (PRESIDENT) |
Authorized Official Contact | 7274035221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trillium Medical Group Of Virginia Po Box 23788 Tampa FL 33623-3788 Ph: (800) 750-8103 | Trillium Medical Group Of Virginia Hwy 58 Dryden VA 24243 Ph: (800) 750-8103 |
NPI Number | 1164623211 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164623211 | NPI | - | NPPES |
202887 | Other | VA | FEDERAL BLACK LUNG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |