| Tanglewood Family Medicine Pc | |
|
9782 Hwy 903 Bracey VA 23919-1991 | |
| (434) 636-6903 | |
| (434) 636-3826 |
| Full Name | Tanglewood Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9782 Hwy 903, Bracey, Virginia |
| Authorized Official Name and Position | Paul A Bailey (P VP S T) |
| Authorized Official Contact | 4346366903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanglewood Family Medicine Pc 9782 Hwy 903 Bracey VA 23919-1991 Ph: (434) 636-6903 | Tanglewood Family Medicine Pc 9782 Hwy 903 Bracey VA 23919-1991 Ph: (434) 636-6903 |
| NPI Number | 1326099219 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326099219 | NPI | - | NPPES |
| CL0333 | Other | MEDICARE RAILROAD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |