Organization
GRAYSON HIGHLANDS FAMILY MEDICINE & OBSTETRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA R LINEBERRY (OFFICE MANAGER)
(276) 773-2865
Entity
Organization
Contact information
Practice address
127 EAST MAIN STREET, INDEPENDENCE, VA 24348
(276) 773-2865
(276) 773-0843
Mailing address
PO BOX 947, INDEPENDENCE, VA 24348-0947
(276) 773-2865
(276) 773-0843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057835
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005610681
—
VA
Enumeration date
10/24/2006
Last updated
04/07/2014
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