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Organization
BURNT CHIMNEY FAMILY MEDICINE, P.C.
Active
Organization
BURNT CHIMNEY FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE H CHACONAS MD (PRESIDENT)
(540) 721-2118
Entity
Organization
Contact information
Practice address
6675 BOOKER T. WASHINGTON HWY, WIRTZ, VA 24184-4128
(540) 721-2118
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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