Organization
FRIES COMMUNITY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY S VANDYKE MD (OWNER)
(276) 744-3660
Entity
Organization
Contact information
Practice address
109 CARROLL DRIVE, FRIES, VA 24330-4532
(276) 744-3660
Mailing address
109 CARROLL DRIVE, FRIES, VA 24330-0453
(276) 744-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/11/2012
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