Organization
TRI-MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VP)
(540) 633-2512
Entity
Organization
Contact information
Practice address
7350 PEPPERS FERRY BLVD, FAIRLAWN, VA 24141-8856
(540) 633-2512
Mailing address
7350 PEPPERS FERRY BLVD, FAIRLAWN, VA 24141-8856
(540) 633-2512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174568893
—
VA
Enumeration date
06/17/2006
Last updated
01/21/2008
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