| Preston Square Family Practice | |
|
24294 Teal Drive Abingdon VA 24211-6160 | |
| (276) 628-8303 | |
| (276) 466-4815 |
| Full Name | Preston Square Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 24294 Teal Drive, Abingdon, Virginia |
| Authorized Official Name and Position | Clara Jane Toothman (PARTNER) |
| Authorized Official Contact | 2766288303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Square Family Practice 24294 Teal Drive Abingdon VA 24211-6160 Ph: (276) 628-8303 | Preston Square Family Practice 24294 Teal Drive Abingdon VA 24211-6160 Ph: (276) 628-8303 |
| NPI Number | 1114943875 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114943875 | NPI | - | NPPES |
| DD3927 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
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