Unknown Individual – General Practice Physician, NPI 1962494922
General Practice Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 289
CEDAR BLUFF, VA 246090289
Phone: (276) 244-1557
Fax: (276) 524-2710
Type: Mailing
1107 RIVERVIEW ST
GRUNDY, VA 24614
Phone: (276) 244-1557
Fax: (276) 524-2710
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine, Emergency Medicine | VA | |
| General Practice | VA | |
| Physician Assistant | NC | |
| Nurse Practitioner | VA | |
| Family Practice | TN |
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