| Fort Chiswell Family Practice Llc | |
|
245 Fort Chiswell Rd Fort Chiswell Plaza Suite D Max Meadows VA 24360-3986 | |
| (276) 637-4300 | |
| (276) 637-4301 |
| Full Name | Fort Chiswell Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 245 Fort Chiswell Rd, Max Meadows, Virginia |
| Authorized Official Name and Position | Kenneth Washington (VP) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Chiswell Family Practice Llc 245 Fort Chiswell Rd Fort Chiswell Plaza Suite D Max Meadows VA 24360-3986 Ph: (276) 637-4300 | Fort Chiswell Family Practice Llc 245 Fort Chiswell Rd Fort Chiswell Plaza Suite D Max Meadows VA 24360-3986 Ph: (276) 637-4300 |
| NPI Number | 1962443721 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962443721 | NPI | - | NPPES |
| 1962443721 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fort Chiswell Family Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360 Phone: 276-637-6641 Fax: 276-637-6741 | |
Wythe County Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 791 Fort Chiswell Rd, Max Meadows, VA 24360 Phone: 276-637-6641 Fax: 276-637-6741 | |
Family Medicine Of Our Mountains Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Fort Chiswell Rd, Suite D, Max Meadows, VA 24360 Phone: 276-595-5300 Fax: 276-595-5850 |