Organization
FRIES FAMILY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCE LOVELACE DO (PRESIDENT)
(276) 744-3660
Entity
Organization
Contact information
Practice address
109 CARROL DR, FRIES, VA 24330-4532
(276) 744-3660
Mailing address
109 CARROL DR, FRIES, VA 24330-4532
(276) 744-3660
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238692
—
VA
01
—
171691
BCBS ANTHEM
VA
Enumeration date
03/22/2007
Last updated
11/29/2011
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