Organization
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Active
Other names
Pediatric Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
106 DOCTORS PARK, GALAX, VA 24333-2276
(276) 236-8166
(276) 236-5247
Mailing address
106 DOCTORS PARK, GALAX, VA 24333-2276
(276) 236-8166
(276) 236-5247
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
05/03/2012
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