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Organization

NORTON COMMUNITY PHYSICIAN SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUANITA L HARWOOD (DIRECTOR)
(423) 302-6565
Entity
Organization

Contact information

Practice address
96 15TH ST NW, SUITE 104, NORTON, VA 24273
(276) 679-8890
(276) 679-9740
Mailing address
96 15TH ST NW, SUITE 104, NORTON, VA 24273-1625
(276) 679-8890
(276) 679-9740

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861674160
VA
Enumeration date
11/29/2007
Last updated
05/02/2025
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