| Timberlake Family Practice | |
|
20304 Timberlake Rd Lynchburg VA 24502-7222 | |
| (434) 237-6471 | |
| (434) 237-8810 |
| Full Name | Timberlake Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 20304 Timberlake Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Matthew A Johnson (PRESIDENT) |
| Authorized Official Contact | 4348467374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timberlake Family Practice Po Box 2489 Forest VA 24551-6489 Ph: (434) 382-1125 | Timberlake Family Practice 20304 Timberlake Rd Lynchburg VA 24502-7222 Ph: (434) 237-6471 |
| NPI Number | 1720175961 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720175961 | NPI | - | NPPES |
| 1528155892 | Other | VA | CVFP CORPORATE NPI |
| CC2392 | Other | VA | MEDICARE RAILROAD |
| 1528155892 | Medicaid | VA | |
| C03658 | Other | VA | CVFP MCARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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