Organization
SOUTH RIVER MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA WILLIAMS (OFFICE MANAGER)
(540) 249-5901
Entity
Organization
Contact information
Practice address
100 7TH STREET, GROTTOES, VA 24441
(540) 249-5901
(540) 249-5902
Mailing address
PO BOX 489, GROTTOES, VA 24441-0489
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
08/03/2012
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