| Wise Medical Group | |
|
203 Front St West Coeburn VA 24230 | |
| (276) 395-5983 | |
| (276) 395-5986 |
| Full Name | Wise Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 203 Front St West, Coeburn, Virginia |
| Authorized Official Name and Position | Romulo Abrantes Fajardo (PHYSICIAN) |
| Authorized Official Contact | 12763955983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Medical Group Po Box 1734 203 Front St. West Coeburn VA 24230-1734 Ph: (127) 639-5598 | Wise Medical Group 203 Front St West Coeburn VA 24230 Ph: (276) 395-5983 |
| NPI Number | 1578603924 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578603924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101221509 (Virginia) | Primary |
Community Physicians Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Front Street, Marty Shopping Center, Coeburn, VA 24230 Phone: 276-395-2389 Fax: 276-395-6634 | |
Coeburn Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 4a Laurel Avenue, Coeburn, VA 24230 Phone: 276-565-2764 Fax: 276-395-6990 |