Fort Chiswell Family Practice LLC
NPI #1962443721 in Max Meadows, Virginia
Provider Information
- NPI Number
- 1962443721
- Entity Type
- Organization
- Organization Name
- Fort Chiswell Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Jan 21, 2008
Practice Location
- Address
- 245 FORT CHISWELL RD
- Address 2
- FORT CHISWELL PLAZA SUITE D
- City
- Max Meadows
- State
- Virginia
- ZIP Code
- 24360-3986
- Phone
- (276) 637-4300
Authorized Official
- Name
- KENNETH WASHINGTON
- Title
- VP
- Phone
- (703) 650-2907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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