# REDBUD FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1760959357
- **Authorized official:** VICKIE LYNNE STEVENS FNP (OWNER)
- **Authorized official phone:** (276) 730-5782

## Contact information

- **Practice address:** 5296 REDBUD HWY, HONAKER, VA 24260-7379
- **Practice address phone:** (276) 991-9500
- **Practice address fax:** (276) 991-4399
- **Mailing address:** 1048 TERRACE DR, MARION, VA 24354-4138
- **Mailing address phone:** (276) 783-1827
- **Mailing address fax:** (276) 783-2879

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2018
- **Last updated:** 11/01/2018