| South River Medical Clinic, Llc | |
|
100 7th Street Grottoes VA 24441 | |
| (540) 249-5901 | |
| (540) 249-5902 |
| Full Name | South River Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 7th Street, Grottoes, Virginia |
| Authorized Official Name and Position | Anna Williams (OFFICE MANAGER) |
| Authorized Official Contact | 5402495901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Medical Clinic, Llc Po Box 489 Grottoes VA 24441-0489 Ph: () - | South River Medical Clinic, Llc 100 7th Street Grottoes VA 24441 Ph: (540) 249-5901 |
| NPI Number | 1922381789 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922381789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |