Town Square Medical, Pllc
NPI #1528641354 in Glade Spring, Virginia
Provider Information
- NPI Number
- 1528641354
- Entity Type
- Organization
- Organization Name
- Town Square Medical, Pllc
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Apr 29, 2021
- Last Updated
- May 4, 2021
Practice Location
- Address
- 202 TOWN SQUARE ST.
- City
- Glade Spring
- State
- Virginia
- ZIP Code
- 24340
- Phone
- (276) 783-1827
Authorized Official
- Name
- MR. MATTHEW L JUSTUS, MA
- Title
- OWNER
- Phone
- (276) 783-1827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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