Organization
COMMUNITY PHYSICIANS SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JANE STURGILL (PRACTICE ADMINISTRATOR)
(276) 679-8890
Entity
Organization
Contact information
Practice address
96 15TH ST NW, STE 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Mailing address
96 15TH ST NW, STE 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04698
MEDICARE GROUP
—
Enumeration date
07/12/2006
Last updated
11/13/2007
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