Christiansburg Family Practice, LLC

NPI #1568785210 in Radford, Virginia

Provider Information

NPI Number: 1568785210
Entity Type: Organization
Organization Name: Christiansburg Family Practice, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 614 E MAIN ST
City: Radford
State: Virginia
ZIP Code: 24141-1818
Phone: (540) 731-1600

Authorized Official

Name: TEDRICK JOHNSON
Title: VP
Phone: (540) 772-3671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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