| Burnt Chimney Family Medicine, P.c. | |
|
6675 Booker T. Washington Hwy Wirtz VA 24184-4128 | |
| (540) 721-2118 | |
| Not Available |
| Full Name | Burnt Chimney Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6675 Booker T. Washington Hwy, Wirtz, Virginia |
| Authorized Official Name and Position | George H Chaconas (PRESIDENT) |
| Authorized Official Contact | 5407212118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burnt Chimney Family Medicine, P.c. Po Box 8310 Roanoke VA 24014-0310 Ph: () - | Burnt Chimney Family Medicine, P.c. 6675 Booker T. Washington Hwy Wirtz VA 24184-4128 Ph: (540) 721-2118 |
| NPI Number | 1306123468 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306123468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |