Organization
WOODLAND FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY C COLE (PRESIDENT/CEO)
(434) 392-6106
Entity
Organization
Contact information
Practice address
202 AGEE ST, FARMVILLE, VA 23901-2617
(434) 392-6143
(434) 392-3866
Mailing address
202 AGEE ST, FARMVILLE, VA 23901-2617
(434) 392-6143
(434) 392-3866
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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