Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREL FORK FAMILY PRACTICE
Active OrganizationLAUREL FORK FAMILY PRACTICE is a Family Medicine organization located in LAUREL FORK, Virginia. NPI 1336639657 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAUREL FORK, VA
Registration Details
- NPI Number
- 1336639657
- Provider Type
- Organization
- NPI Issued
- May 11, 2018 (8.2543230488119 yrs)
- Last Updated
- May 11, 2018
- License
-
0101236128 (VA)
Practice Information
- Address
-
1205 STONE MOUNTAIN ROADLAUREL FORK, VA, 24352Browse VA providers · Browse ZIP 24352
- Phone
- 2763982532
- Fax
- 2763982534
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.