Organization
IPS OF WINCHESTER LLC/AFP LOCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY NELSON GUSTIN III MD (MANAGER)
(540) 667-8724
Entity
Organization
Contact information
Practice address
1867 AMHERST ST, WINCHESTER, VA 22601-2801
(540) 667-8724
(540) 723-0741
Mailing address
148 LINDEN DR, SUITE 101, WINCHESTER, VA 22601-6902
(540) 504-0075
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Enumeration date
07/18/2012
Last updated
08/29/2012
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