# MT. JACKSON FAMILY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013024603
- **Authorized official:** TERESA A TAYLOR (DIRECTOR)
- **Authorized official phone:** (540) 459-1111

## Contact information

- **Practice address:** 5173 MAIN ST, MOUNT JACKSON, VA 22842-9513
- **Practice address phone:** (540) 477-3808
- **Practice address fax:** (540) 477-2719
- **Mailing address:** 5173 NORTH MAIN STREET, MT. JACKSON, VA 22664
- **Mailing address phone:** (540) 477-3808
- **Mailing address fax:** (540) 477-2719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020