Organization · NPI-2

Access Healthcare INC

Family Medicine · Forest, VA

NPI number1790868339
StatusActive
Last updated in NPPESNov 7, 2018

Details

NPI
1790868339
Entity type
Organization (NPI-2)
Legal business name
Access Healthcare INC
Organization subpart
No
Enumeration date
Oct 24, 2006
Last updated
Nov 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207QS0010X Family Medicine, Sports Medicine––

Practice location

2103 Graves Mill Rd
Forest, VA 24551-2675

Phone 434-316-7199 · Fax 434-316-6185

Mailing address

2103 Graves Mill Rd
Forest, VA 24551-2675

Phone 434-316-7199 · Fax 434-316-6185

Authorized official

Cynthia Shelor
Office Manager
4343167199

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