Individual
MRS. TINA MICHELLE COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
RT 5, BGH PROF BLDG SUITE 101, GRUNDY, VA 24614
(276) 935-2080
(276) 935-2082
Mailing address
PO BOX 1217, GRUNDY, VA 24614
(276) 935-2080
(276) 935-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024000072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107503000
—
WV
05
—
78006293
—
KY
Enumeration date
12/20/2006
Last updated
07/08/2007
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