Chase City Primary Care Center, LLC

NPI #1790739761 in Chase City, Virginia

Provider Information

NPI Number: 1790739761
Entity Type: Organization
Organization Name: Chase City Primary Care Center, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 22, 2006
Last Updated: Oct 7, 2008

Practice Location

Address: 200 E 5TH ST
City: Chase City
State: Virginia
ZIP Code: 23924-1456
Phone: (434) 372-0900

Authorized Official

Name: MR. RONNIE TATUM JR.
Title: VP OF FINANCE/CFO
Phone: (434) 774-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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