| Fancy Gap Internal Medicine | |
|
1661 Turner Spur Rd Fancy Gap VA 24328-4365 | |
| (276) 728-0735 | |
| (276) 728-7717 |
| Full Name | Fancy Gap Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1661 Turner Spur Rd, Fancy Gap, Virginia |
| Authorized Official Name and Position | Susan Tracy Roberts (NURSE PRACTITIONER) |
| Authorized Official Contact | 3367077734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fancy Gap Internal Medicine 1661 Turner Spur Rd Fancy Gap VA 24328-4365 Ph: (276) 728-0735 | Fancy Gap Internal Medicine 1661 Turner Spur Rd Fancy Gap VA 24328-4365 Ph: (276) 728-0735 |
| NPI Number | 1376940643 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376940643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |