| |
250 Memorial Dr Suite D Luray VA 22835-1000 | |
(540) 743-6558 | |
(540) 743-3601 |
Full Name | |
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Speciality | Internal Medicine |
Location | 250 Memorial Dr, Luray, Virginia |
Authorized Official Name and Position | Nelson Travis Clark (PRESIDENT) |
Authorized Official Contact | 5407436388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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250 Memorial Dr Suite D Luray VA 22835-1000 Ph: (540) 743-6558 | 250 Memorial Dr Suite D Luray VA 22835-1000 Ph: (540) 743-6558 |
NPI Number | 1861898439 |
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Provider Enumeration Date | 11/10/2014 |
Last Update Date | 07/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861898439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | H1926 (Virginia) | Secondary |
Page Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Memorial Dr, Luray, VA 22835 Phone: 540-743-4561 | |
Apex Network Virginia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Leaksville Rd, Luray, VA 22835 Phone: 540-743-0502 |