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Organization

FORK UNION FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND OSCAR BISHOP MD (OWNER)
(606) 213-7895
Entity
Organization

Contact information

Practice address
4064 JAMES MADISON HIGHWAY, FORK UNION, VA 23055
(434) 842-3244
(434) 842-1110
Mailing address
PO BOX 696, FORK UNION, VA 23055-0696
(434) 842-3244
(434) 842-1110

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233552
VA

Other

Enumeration date
05/27/2016
Last updated
08/16/2016
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