Organization
TOWN SQUARE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW L JUSTUS MA (OWNER)
(276) 783-1827
Entity
Organization
Contact information
Practice address
202 TOWN SQUARE ST., GLADE SPRING, VA 24340
(276) 783-1827
(276) 783-2879
Mailing address
PO BOX 184, GLADE SPRING, VA 24340-0184
(276) 783-1827
(276) 783-2879
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
05/04/2021
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