Patrick County Family Practice Pc

NPI 1063589448 - Family Medicine - 207Q00000X

NPI Details
NPI 1063589448
Enumeration Date 11/29/2006
Last Updated 04/23/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD CLAUDE RICHARD
Position PRESIDENT
Phone (276) 694-4466
Fax (276) 694-2909
Practice Location
18877 JEB STUART HIGHWAY
STUART VA, 24171-1019, US
Phone (276) 694-4466
Fax (276) 694-2909
Business Location
PO BOX 1019
STUART VA, 24171-1019, US
Phone (276) 694-4466
Fax (276) 694-2909
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101036915
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According to our database, Patrick County Family Practice Pc NPI is 1063589448, taxonomy code is 207Q00000X and license number is 0101036915, license state is located at Virginia. Patrick County Family Practice Pc physically located at 18877 Jeb Stuart Highway, Stuart VA, 24171-1019. NPI Number 1033115704 has the healthcare provider type.

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1063589448 NPI number is provided on an as is basis without warranty of any kind. 1063589448 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick County Family Practice Pc are for informational purposes only.