Organization
CHRISTIANSBURG FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CALDWELL JR. (VICE PRESIDENT)
(540) 772-5997
Entity
Organization
Contact information
Practice address
6 HICKOK ST, CHRISTIANSBURG, VA 24073-3524
(540) 382-6148
(540) 382-0105
Mailing address
PO BOX 405611, ATLANTA, GA 30384-5611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101026426
VA
Other
Enumeration date
11/20/2008
Last updated
03/20/2009
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