Organization
FAMILY DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN T BELL (OFFICE MANAGER)
(540) 389-0092
Entity
Organization
Contact information
Practice address
511 ROANOKE BLVD, SUITE B, SALEM, VA 24153-5006
(540) 389-0092
(540) 389-0644
Mailing address
511 ROANOKE BLVD, SUITE B, SALEM, VA 24153-5006
(540) 389-0092
(540) 389-0644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101038249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010173671
—
VA
Enumeration date
05/24/2007
Last updated
05/27/2010
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