Organization
FAMILY MEDICINE OF FARMVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA T VARNER R.N. (OFFICE MANAGER)
(434) 392-6101
Entity
Organization
Contact information
Practice address
400 LONGWOOD AVE, FARMVILLE, VA 23901-1524
(434) 392-6101
(434) 392-1003
Mailing address
400 LONGWOOD AVE, FARMVILLE, VA 23901-1524
(434) 392-6101
(434) 392-1003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5603242
—
VA
Enumeration date
03/21/2007
Last updated
08/22/2020
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