Organization
FAMILY MEDICINE OF BLACKSBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (GROUP VP/AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
1645 N MAIN ST, BLACKSBURG, VA 24060-2554
(540) 552-1246
(540) 552-1247
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/30/2020
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