# SUGAR HOLLOW MEDICAL

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

## Provider details

- **NPI number:** 1972772929
- **Authorized official:** MR. DAVID P GULDSETH MD (PRESIDENT)
- **Authorized official phone:** (276) 466-3777

## Contact information

- **Practice address:** 3177 LINDEN DR, SUITE \#6, BRISTOL, VA 24202-5812
- **Practice address phone:** (276) 466-3777
- **Practice address fax:** (276) 466-3705
- **Mailing address:** 3177 LINDEN DR, SUITE \#6, BRISTOL, VA 24202-5812
- **Mailing address phone:** (276) 466-3777
- **Mailing address fax:** (276) 466-3705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101231449 | VA | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 0101231449 | VA | — |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 04/15/2008