County Med, LLC
NPI #1407580483 in Blackstone, Virginia
Provider Information
- NPI Number
- 1407580483
- Entity Type
- Organization
- Organization Name
- County Med, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 14, 2022
- Last Updated
- Aug 1, 2023
Practice Location
- Address
- 103 E BROAD ST
- City
- Blackstone
- State
- Virginia
- ZIP Code
- 23824-1815
- Phone
- (434) 264-3221
Authorized Official
- Name
- SHANTEL LATTA, NP
- Title
- OWNER
- Phone
- (434) 294-3825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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