Organization
BERRYVILLE FAMILY PRACTICE
Active
Organization
BERRYVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES RUSSELL EVANS MD (CEO)
(540) 723-6660
Entity
Organization
Contact information
Practice address
1824 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 723-6660
(540) 723-6688
Mailing address
1824 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 723-6660
(540) 723-6688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093990103
—
VA
05
—
3810013816
—
WV
01
—
CM4956
MEDICARE RR
VA
Enumeration date
01/08/2008
Last updated
05/20/2009
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