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Organization

MECKLENBURG FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLOUGHBY SHELTON HUNDLEY III MD (PRESIDENT)
(434) 738-6911
Entity
Organization

Contact information

Practice address
969 MADISON ST, BOYDTON, VA 23917-0297
(434) 738-6911
(434) 738-0431
Mailing address
PO BOX 297, BOYDTON, VA 23917-0297
(434) 738-6911
(434) 738-0431

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
VA

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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