Organization
FRIES FAMILY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE WILLIAMS RN, CPC (PRACTICE ADMINISTRATOR)
(276) 744-3660
Entity
Organization
Contact information
Practice address
109 CARROL DR, FRIES, VA 24330-4532
(276) 744-3660
(276) 744-3843
Mailing address
PO BOX 453, FRIES, VA 24330-0453
(276) 744-3660
(276) 744-3843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238692
—
VA
01
—
C09443
TRAILBLAZER MEDICARE
VA
Enumeration date
06/14/2006
Last updated
07/28/2008
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