Organization
EXPERIENCED CARE CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY BRANHAM FNP (OWNER)
(276) 393-8284
Entity
Organization
Contact information
Practice address
8008 MAIN ST, POUND, VA 24279-0000
(276) 796-4586
Mailing address
PO BOX 908, POUND, VA 24279-0908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
09/11/2024
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