Organization
VALLEY PHYSICIAN ENTERPRISE, INC
Active
Other names
Valley Health Winchester Family Practice Rutherford Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
160 MERCHANT STREET, STE 100, WINCHESTER, VA 22603
(540) 536-5400
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-0231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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