Organization · NPI-2

Blue Ridge Family Medicine Plc

Family Medicine · Staunton, VA

NPI number1356432892
StatusActive
Last updated in NPPESOct 3, 2007

Details

NPI
1356432892
Entity type
Organization (NPI-2)
Legal business name
Blue Ridge Family Medicine Plc
Organization subpart
No
Enumeration date
Sep 28, 2006
Last updated
Oct 3, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

42 Lambert St Ste 422
Staunton, VA 24401-2421

Phone 540-213-3633 · Fax 540-344-7154

Mailing address

Po Box 4127
Roanoke, VA 24015-0127

Phone 540-981-9394 · Fax 540-344-7154

Authorized official

Charles K Weisman
President
5402133633

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