Organization
PATRIOT PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE BURNETTE (CHIEF EXECUTIVE OFFICER)
(276) 730-5919
Entity
Organization
Contact information
Practice address
1719 ALBEMARLE BEACH RD, ROPER, NC 27970-9419
(276) 730-5919
Mailing address
5261 CARROLLTON PIKE STE E, WOODLAWN, VA 24381-3034
(276) 730-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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