Organization
OLDTOWN MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA H WILLEY (PRACTICE OWNER)
(276) 236-5300
Entity
Organization
Contact information
Practice address
306 MEADOW ST, GALAX, VA 24333
(276) 236-5300
Mailing address
306 MEADOW ST, GALAX, VA 24333-3020
(276) 236-5300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
05/24/2018
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