Organization
BURKEVILLE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. WINE M.D. (CFO)
(434) 767-4822
Entity
Organization
Contact information
Practice address
412 NAMOZINE STREET, BURKEVILLE, VA 23922
(434) 767-5511
Mailing address
412 NAMOZINE STREET, BURKEVILLE, VA 23922
(434) 767-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
01/30/2008
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