| Tox Sisters LLC | |
|
21956 Riverside Dr Ste 7 Grundy VA 24614-9400 | |
| (276) 285-8764 | |
| Not Available |
| Full Name | Tox Sisters LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 21956 Riverside Dr Ste 7, Grundy, Virginia |
| Authorized Official Name and Position | Samantha Fraley (OWNER) |
| Authorized Official Contact | 2762858764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tox Sisters LLC 21956 Riverside Dr Ste 7 Grundy VA 24614-9400 Ph: (276) 285-8764 | Tox Sisters LLC 21956 Riverside Dr Ste 7 Grundy VA 24614-9400 Ph: (276) 285-8764 |
| NPI Number | 1386506301 |
|---|---|
| Provider Enumeration Date | 11/28/2025 |
| Last Update Date | 01/22/2026 |
| Certification Date | 01/22/2026 |
| Medicare PECOS PAC ID | 9739663667 |
|---|---|
| Medicare Enrollment ID | O20260319000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386506301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Samantha Renee Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154133676 PECOS PAC ID: 1052833704 Enrollment ID: I20250321002846 |
| Provider Name | Savannah Nicole Stiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518779842 PECOS PAC ID: 6002332699 Enrollment ID: I20250428000722 |
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