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Organization

WINCHESTER FAMILY PRACTICE PC

Active
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Organization

WINCHESTER FAMILY PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA TAYLOR (OFFICE MANAGER)
(540) 450-3339
Entity
Organization

Contact information

Practice address
1440 AMHERST ST, WINCHESTER, VA 22601-3010
(540) 450-3339
(540) 450-3338
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08295
MEDICARE
VA
01
—
CK7558
MEDICARE RR
—
Enumeration date
06/14/2006
Last updated
06/21/2018
About Stedi
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