Fort Chiswell Family Care, Pllc
NPI #1104158401 in Max Meadows, Virginia
Provider Information
- NPI Number
- 1104158401
- Entity Type
- Organization
- Organization Name
- Fort Chiswell Family Care, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 11, 2010
- Last Updated
- Jun 21, 2010
Practice Location
- Address
- 791 FORT CHISWELL RD
- Address 2
- SUITE A
- City
- Max Meadows
- State
- Virginia
- ZIP Code
- 24360-4139
- Phone
- (276) 637-6641
Authorized Official
- Name
- DR. MICHAEL H STOKER, MD
- Title
- PHYSICIAN
- Phone
- (276) 637-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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