Warren Family Practice, Pc | |
1077 N Shenandoah Ave Suite B Front Royal VA 22630-3546 | |
(540) 636-8900 | |
(540) 636-8920 |
Full Name | Warren Family Practice, Pc |
---|---|
Speciality | Family Medicine |
Location | 1077 N Shenandoah Ave, Front Royal, Virginia |
Authorized Official Name and Position | Jayashree Venkatesh (PRESIDENT) |
Authorized Official Contact | 5406368900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Warren Family Practice, Pc 1077 N Shenandoah Ave Suite B Front Royal VA 22630-3546 Ph: (540) 636-8900 | Warren Family Practice, Pc 1077 N Shenandoah Ave Suite B Front Royal VA 22630-3546 Ph: (540) 636-8900 |
NPI Number | 1356512990 |
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Provider Enumeration Date | 03/21/2008 |
Last Update Date | 06/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356512990 | NPI | - | NPPES |
1356512990 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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D.b.a Warren Multi-specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1077 N Shenandoah Ave, Suite B, Front Royal, VA 22630 Phone: 540-636-0627 Fax: 540-636-0629 |