White Oak Primary Care, INC.
Clinic/Center, Primary Care in Halifax, VA. Organization (NPI-2).
NPI number1639799166
StatusActive
Last updated in NPPESApr 24, 2020
Details
- NPI
- 1639799166
- Entity type
- Organization (NPI-2)
- Legal business name
- White Oak Primary Care, INC.
- Organization subpart
- No
- Enumeration date
- Apr 24, 2020
- Certification date
- Apr 24, 2020
- Last updated
- Apr 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
235 N Main StHalifax, VA 24558-2995
Phone 434-830-2605 · Fax 434-830-2258
Mailing address
235 N Main StHalifax, VA 24558-2995
Phone 434-830-2605 · Fax 434-830-2258
Authorized official
Shannon N Scearce
Owner/President/Provider
4348302605
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