| Wythe County Physician Practices Llc | |
|
1155 N 4th St Ste 502 Wytheville VA 24382-1097 | |
| (276) 625-8866 | |
| Not Available |
| Full Name | Wythe County Physician Practices Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1155 N 4th St Ste 502, Wytheville, Virginia |
| Authorized Official Name and Position | Charlotte Lawrence (ASSISTANT CORPORATE SECRETARY) |
| Authorized Official Contact | 6159207688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wythe County Physician Practices Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Wythe County Physician Practices Llc 1155 N 4th St Ste 502 Wytheville VA 24382-1097 Ph: (276) 625-8866 |
| NPI Number | 1477263788 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 7517972789 |
|---|---|
| Medicare Enrollment ID | O20230214002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477263788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Wythe County Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Holston Rd Ste B, Wytheville, VA 24382 Phone: 276-227-0460 Fax: 276-227-0711 | |
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