Organization
COUNTRY DOCTOR, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STEPHANIE H. CAMPAU (OFFICE MANAGER)
(540) 423-1788
Entity
Organization
Contact information
Practice address
35070 GERMANNA HEIGHTS DR, STE A, LOCUST GROVE, VA 22508-3108
(540) 423-1788
(540) 423-1755
Mailing address
35070 GERMANNA HEIGHTS DR, STE A, LOCUST GROVE, VA 22508-3108
(540) 423-1788
(540) 423-1755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
09/25/2014
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