Organization
FORK UNION MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH EWING LANFORD MD (CEO)
(434) 842-3244
Entity
Organization
Contact information
Practice address
4064 JAMES MADISON HIGHWAY, FORK UNION, VA 23055
(434) 842-3244
(434) 842-1110
Mailing address
4064 JAMES MADISON HIGHWAY, PO BOX 458, FORK UNION, VA 23055
(434) 842-3244
(434) 842-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032081
VA
Other
Enumeration date
10/02/2006
Last updated
01/19/2010
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