# SPRING RIDGE CONSULTATION SERVICES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salem Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164850228
- **Authorized official:** DR. MARK TAYLOR (PRESIDENT)
- **Authorized official phone:** (540) 345-3556

## Contact information

- **Practice address:** 511 ROANOKE BLVD, SUITE 3, SALEM, VA 24153-5032
- **Practice address phone:** (540) 345-3556
- **Mailing address:** PO BOX 8310, ROANOKE, VA 24014-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101058096 | VA | Yes |

## Other

- **Enumeration date:** 10/28/2013
- **Last updated:** 11/25/2013