Tristate Rural Health Clinic

NPI #1568622868 in Grundy, Virginia

Provider Information

NPI Number: 1568622868
Entity Type: Organization
Organization Name: Tristate Rural Health Clinic
Primary Specialty: Legal Medicine
Enumeration Date: Jun 11, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 20757 RIVERSIDE DR
City: Grundy
State: Virginia
ZIP Code: 24614-6746
Phone: (276) 935-6424

Authorized Official

Name: MRS. JANET STACY
Title: OFFICE MANAGER
Phone: (276) 935-6044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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