Organization
CHILDREN'S MEDICAL CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B. LAFAVE M. D. (PRESIDENT)
(276) 632-9714
Entity
Organization
Contact information
Practice address
15 CLEVELAND AVE, SUITE 14, MARTINSVILLE, VA 24112-2937
(276) 632-9714
(276) 632-9714
Mailing address
15 CLEVELAND AVE, SUITE 14, MARTINSVILLE, VA 24112-2937
(276) 632-9714
(276) 632-9714
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
VA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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