Organization
BLACKSBURG FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WASHINGTON (VP)
(703) 650-2907
Entity
Organization
Contact information
Practice address
708 N MAIN ST, SUITE 200, BLACKSBURG, VA 24060-3351
(540) 951-9444
Mailing address
708 N MAIN ST, SUITE 200, BLACKSBURG, VA 24060-3351
(540) 951-9444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/28/2007
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