Dlp Twin County Physician Practices LLC

NPI #1619243300 in Galax, Virginia

Provider Information

NPI Number: 1619243300
Entity Type: Organization
Organization Name: Dlp Twin County Physician Practices LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 27, 2012
Last Updated: May 3, 2012

Practice Location

Address: 106 DOCTORS PARK
City: Galax
State: Virginia
ZIP Code: 24333-2276
Phone: (276) 236-8166

Authorized Official

Name: MR. JESS N JUDY
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Pediatrics	208000000X	Primary

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