Commonwealth Internal Medicine and Pediatrics

NPI #1235454646 in Grundy, Virginia

Provider Information

NPI Number
1235454646
Entity Type
Organization
Organization Name
Commonwealth Internal Medicine and Pediatrics
Primary Specialty
Internal Medicine
Enumeration Date
Mar 30, 2010
Last Updated
Mar 30, 2010

Practice Location

Address
1532 SLATE CREEK RD STE 106
Address 2
BOX 173
City
Grundy
ZIP Code
24614-6975
Phone
(276) 935-1592

Authorized Official

Name
DR. MELISSA KEENE, MD
Title
OWNER
Phone
(859) 907-4299

Specialties & Taxonomy Codes

Specialty
Pediatrics
Internal Medicine

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