Family Medicine of Blacksburg, LLC
NPI #1558550301 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1558550301
- Entity Type
- Organization
- Organization Name
- Family Medicine of Blacksburg, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 1645 N MAIN ST
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-2554
- Phone
- (540) 552-1246
Authorized Official
- Name
- WILLIAM TEDRICK JOHNSON
- Title
- GROUP VP/AO
- Phone
- (615) 372-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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