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Organization
ROYAL OAK MEDICAL ASSOCIATES PC
Active
Organization
ROYAL OAK MEDICAL ASSOCIATES PC
Active
Parent organization
ROYAL OAK MEDICAL ASSOCIATES PC
Other names
BLUE RIDGE FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROYAL OAK MEDICAL ASSOCIATES PC
Authorized official
KIMBERLY K LACY DO (PHYSICIAN)
(276) 686-4007
Entity
Organization
Contact information
Practice address
445 GIENOW RD, RURAL RETREAT, VA 24368-3210
(276) 686-4007
(276) 686-4581
Mailing address
445 GIENOW RD, RURAL RETREAT, VA 24368-3210
(276) 686-4007
(276) 686-4581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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