| Wyndhurst Family Medicine, P.c. | |
|
102 Archway Ct Lynchburg VA 24502-2889 | |
| (434) 237-3664 | |
| (434) 237-3711 |
| Full Name | Wyndhurst Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Archway Ct, Lynchburg, Virginia |
| Authorized Official Name and Position | Craig John Petry (PRESID) |
| Authorized Official Contact | 4342373664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyndhurst Family Medicine, P.c. 102 Archway Ct Lynchburg VA 24502-2889 Ph: (434) 237-3664 | Wyndhurst Family Medicine, P.c. 102 Archway Ct Lynchburg VA 24502-2889 Ph: (434) 237-3664 |
| NPI Number | 1902095540 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 3577527191 |
|---|---|
| Medicare Enrollment ID | O20041115000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902095540 | NPI | - | NPPES |
| 146316 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101059194 (Virginia) | Primary |
| Provider Name | Craig J Petry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285657213 PECOS PAC ID: 3375506504 Enrollment ID: I20041109000739 |
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