# OLDTOWN MEDICAL CARE, LLC

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

## Provider details

- **NPI number:** 1043558745
- **Authorized official:** MS. ANGELA H WILLEY (PRACTICE OWNER)
- **Authorized official phone:** (276) 236-5300

## Contact information

- **Practice address:** 306 MEADOW ST, GALAX, VA 24333
- **Practice address phone:** (276) 236-5300
- **Mailing address:** 306 MEADOW ST, GALAX, VA 24333-3020
- **Mailing address phone:** (276) 236-5300

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2013
- **Last updated:** 05/24/2018