Organization
EASTLAKE PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY HULLETT ROY PA-C (CEO)
(540) 703-2682
Entity
Organization
Contact information
Practice address
14807 MONETA RD STE J, MONETA, VA 24121-6449
(540) 703-2682
Mailing address
14807 MONETA RD STE J, MONETA, VA 24121-6449
(540) 703-2682
(540) 698-1030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
02/25/2026
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