| Cprpm, PLLC | |
|
113 Cold Branch Rd Forest VA 24551-2111 | |
| (434) 546-3576 | |
| Not Available |
| Full Name | Cprpm, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 113 Cold Branch Rd, Forest, Virginia |
| Authorized Official Name and Position | Craig Petry (OWNER/PRESIDENT) |
| Authorized Official Contact | 4345463576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cprpm, PLLC 113 Cold Branch Rd Forest VA 24551-2111 Ph: (434) 546-3576 | Cprpm, PLLC 113 Cold Branch Rd Forest VA 24551-2111 Ph: (434) 546-3576 |
| NPI Number | 1346859188 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346859188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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