Organization
CULPEPER SPECIALIST PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVA BOWMAN (BUSINESS OFFICE MANAGER)
(540) 825-5595
Entity
Organization
Contact information
Practice address
541 SUNSET LN, SUITE 102, CULPEPER, VA 22701-3979
(540) 829-8484
(540) 829-6699
Mailing address
14115 LOVERS LN, SUITE 100, CULPEPER, VA 22701-4157
(540) 825-5595
(540) 825-5272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10542
MEDICARE GROUP PTAN
—
Enumeration date
01/03/2008
Last updated
03/17/2009
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