Organization
CPRPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG PETRY MD (OWNER/PRESIDENT)
(434) 546-3576
Entity
Organization
Contact information
Practice address
113 COLD BRANCH RD, FOREST, VA 24551-2111
(434) 546-3576
Mailing address
113 COLD BRANCH RD, FOREST, VA 24551-2111
(434) 546-3576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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