Organization
FAMILY PRACTICE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN PORTER BIDWELL JR. M.D. (PRESIDENT/PHYSICAN)
(757) 562-2158
Entity
Organization
Contact information
Practice address
102 FAIRVIEW DR., SUITE B, FRANKILN, VA 23851-1206
(757) 562-2158
(757) 562-2134
Mailing address
102 FAIRVIEW DR., SUITE B, FRANKILN, VA 23851-1206
(757) 562-2158
(757) 562-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101022437
VA
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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