| Eastlake Primary Care Inc | |
|
10559 Moneta Rd Bedford VA 24523-4449 | |
| (540) 580-1624 | |
| Not Available |
| Full Name | Eastlake Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10559 Moneta Rd, Bedford, Virginia |
| Authorized Official Name and Position | Holly Hullett Roy (PRESIDENT) |
| Authorized Official Contact | 5405801624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastlake Primary Care Inc 10559 Moneta Rd Bedford VA 24523-4449 Ph: (540) 580-1624 | Eastlake Primary Care Inc 10559 Moneta Rd Bedford VA 24523-4449 Ph: (540) 580-1624 |
| NPI Number | 1043002934 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043002934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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