# PRESTON SQUARE FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1114943875
- **Authorized official:** CLARA JANE TOOTHMAN MD (PARTNER)
- **Authorized official phone:** (276) 628-8303

## Contact information

- **Practice address:** 24294 TEAL DRIVE, ABINGDON, VA 24211-6160
- **Practice address phone:** (276) 628-8303
- **Practice address fax:** (276) 466-4815
- **Mailing address:** 24294 TEAL DRIVE, ABINGDON, VA 24211-6160
- **Mailing address phone:** (276) 628-8303
- **Mailing address fax:** (276) 466-4815

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/16/2011