Organization
CREWE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E. MARSTON M.D. (OWNER)
(434) 645-9191
Entity
Organization
Contact information
Practice address
12522 W. COLONIAL TRAIL HWY., CREWE, VA 23930
(434) 645-9191
(434) 645-1859
Mailing address
P.O. BOX 528, 12522 W. COLONIAL TRAIL HWY., CREWE, VA 23930
(434) 645-9191
(434) 645-1859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5619645
—
VA
05
—
5630185
—
VA
Enumeration date
11/06/2006
Last updated
06/18/2008
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