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Organization

PATRICK COUNTY FAMILY PRACTICE,PC

Active
Parent organization
PATRICK COUNTY FAMILY PRACTICE PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PATRICK COUNTY FAMILY PRACTICE PC
Authorized official
RICHARD CLAUDE COLE (OWNER)
(276) 694-4466
Entity
Organization

Contact information

Practice address
18877 JEB STUART HIGHWAY, STUART, VA 24171-1019
(276) 694-4466
(276) 694-2909
Mailing address
PO BOX 1019, STUART, VA 24171-1019
(276) 694-4466
(276) 694-2909

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101 036915
VA
207R00000X
Internal Medicine Physician
0101 237621
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005657342
VA
05
006211313
VA
05
010181861
VA
01
0232E
BLUE CROSS BLUE SHIELD
NC
01
097029
ANTHEM BCBS GROUP #
VA
05
7902459
NC
Enumeration date
08/10/2006
Last updated
02/10/2026
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