Organization
DR RUSSELL BEATTIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL WILLS BEATTIE JR. (OWNER)
(540) 894-5600
Entity
Organization
Contact information
Practice address
131 LOUISA AVE, MINERAL, VA 23117
(540) 894-5600
(540) 894-8013
Mailing address
PO BOX 70, MINERAL, VA 23117
(540) 894-5600
(540) 894-8013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
11/14/2007
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