Organization
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
6719 GOV G. C. PEERY HWY, SUITE 3650, RICHLANDS, VA 24641-2055
(276) 596-6773
(866) 803-1898
Mailing address
6719 GOV G. C. PEERY HWY, SUITE 3650, RICHLANDS, VA 24641-2055
(276) 596-6773
(866) 803-1898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
0101240724
VA
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/26/2007
Last updated
09/24/2024
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