Eastlake Primary Care PC

NPI #1043002934 in Moneta, Virginia

Provider Information

NPI Number: 1043002934
Entity Type: Organization
Organization Name: Eastlake Primary Care PC
Primary Specialty: Family Medicine
Enumeration Date: May 19, 2025
Last Updated: Oct 29, 2025

Practice Location

Address: 14807 MONETA RD STE J
City: Moneta
State: Virginia
ZIP Code: 24121-6449
Phone: (540) 703-2682

Authorized Official

Name: MRS. HOLLY HULLETT ROY, PA-C
Title: CEO
Phone: (540) 703-2682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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