Unknown Individual – Family Medicine Physician, NPI 1093786956
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West Morgan Avenue, Pennington Gap, Lee County, Virginia, 24277, United States
SUITE 3
PENNINGTON GAP, VA 242772036
Phone: (276) 546-5310
Mailing address matches the actual address.
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 24277)
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