| Wythe Medical Associates, Inc | |
|
342 Virginia Ave Wytheville VA 24382-1185 | |
| (276) 228-2191 | |
| (276) 228-2801 |
| Full Name | Wythe Medical Associates, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 342 Virginia Ave, Wytheville, Virginia |
| Authorized Official Name and Position | Kyoung S Cho (OWNER /PARTNER) |
| Authorized Official Contact | 2762282191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wythe Medical Associates, Inc 342 Virginia Ave Wytheville VA 24382-1185 Ph: (276) 228-2191 | Wythe Medical Associates, Inc 342 Virginia Ave Wytheville VA 24382-1185 Ph: (276) 228-2191 |
| NPI Number | 1144242249 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 4587692900 |
|---|---|
| Medicare Enrollment ID | O20050727001057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144242249 | NPI | - | NPPES |
| Provider Name | Michael Hughes Stoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932119468 PECOS PAC ID: 8224016548 Enrollment ID: I20040712001327 |
| Provider Name | Feliciano J Jusay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538130174 PECOS PAC ID: 9436251170 Enrollment ID: I20100217000618 |
| Provider Name | Kyoung S Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992776538 PECOS PAC ID: 0345342085 Enrollment ID: I20100301000546 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367149 PECOS PAC ID: 2163789942 Enrollment ID: I20171204000959 |
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