| Willow Bay Medical Center Pc | |
|
740 Jessie Dupont Memorial Hwy Burgess VA 22432 | |
| (804) 453-5466 | |
| (804) 453-4728 |
| Full Name | Willow Bay Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Jessie Dupont Memorial Hwy, Burgess, Virginia |
| Authorized Official Name and Position | Angela Ernst (TREASURER AND SECRETARY) |
| Authorized Official Contact | 8044535466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Bay Medical Center Pc Po Box 219 Burgess VA 22432-0219 Ph: (804) 453-5466 | Willow Bay Medical Center Pc 740 Jessie Dupont Memorial Hwy Burgess VA 22432 Ph: (804) 453-5466 |
| NPI Number | 1134226483 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134226483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101057095 (Virginia) | Primary |
Riverside Bay Harbor Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Jessie Dupont Memorial Hwy, Burgess, VA 22432 Phone: 804-453-5466 Fax: 804-453-4728 |