Cprpm, Pllc

NPI #1346859188 in Forest, Virginia

Provider Information

NPI Number: 1346859188
Entity Type: Organization
Organization Name: Cprpm, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2020
Last Updated: Jul 28, 2020

Practice Location

Address: 113 COLD BRANCH RD
City: Forest
State: Virginia
ZIP Code: 24551-2111
Phone: (434) 546-3576

Authorized Official

Name: DR. CRAIG PETRY, MD
Title: OWNER/PRESIDENT
Phone: (434) 546-3576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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