| Lawrenceville Primary Care Pc | |
|
203 Sharp St Lawrenceville VA 23868 | |
| (434) 848-0771 | |
| (434) 848-3415 |
| Full Name | Lawrenceville Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 Sharp St, Lawrenceville, Virginia |
| Authorized Official Name and Position | Christopher J. Ackerman (PRESIDENT) |
| Authorized Official Contact | 4348480771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrenceville Primary Care Pc Po Box 459 Lawrenceville VA 23868-0459 Ph: (434) 848-0771 | Lawrenceville Primary Care Pc 203 Sharp St Lawrenceville VA 23868 Ph: (434) 848-0771 |
| NPI Number | 1881624682 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 4385540715 |
|---|---|
| Medicare Enrollment ID | O20031208000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881624682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101237185 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 0101044297 (Virginia) | Primary |
| Provider Name | Freeman Hugh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912029059 PECOS PAC ID: 4981649241 Enrollment ID: I20050627001078 |
| Provider Name | Christopher J Ackerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285626481 PECOS PAC ID: 4183520513 Enrollment ID: I20110214000041 |
| Provider Name | Linda H Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144352451 PECOS PAC ID: 6103084546 Enrollment ID: I20120215000084 |
Brunswick Family Practice Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 West Church Street, Lawrenceville, VA 23868 Phone: 434-848-0072 Fax: 434-848-0141 |