Abingdon Family Practice Pc | |
617 Campus Dr Abingdon VA 24210-9700 | |
(276) 628-1186 | |
(276) 628-8507 |
Full Name | Abingdon Family Practice Pc |
---|---|
Speciality | Family Medicine |
Location | 617 Campus Dr, Abingdon, Virginia |
Authorized Official Name and Position | Simon P Pennings (PRESIDENT) |
Authorized Official Contact | 2766281186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abingdon Family Practice Pc 617 Campus Dr Abingdon VA 24210-9700 Ph: (276) 628-1186 | Abingdon Family Practice Pc 617 Campus Dr Abingdon VA 24210-9700 Ph: (276) 628-1186 |
NPI Number | 1033108857 |
---|---|
Provider Enumeration Date | 10/14/2005 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033108857 | NPI | - | NPPES |
005607531 | Medicaid | VA | |
5752880001 | Other | VA | MEDICARE NCS |
005641802 | Medicaid | VA | |
005642507 | Medicaid | VA | |
064411 | Other | ANTHEM | |
5603067 | Other | AETNA | |
2102748 | Other | MAMSI | |
460464 | Other | ANTHEM | |
5756306 | Other | AETNA | |
C03006 | Other | VA | MEDICARE PROVIDER |
226900 | Other | ANTHEM | |
3054602 | Other | BLUE CLASSIE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 8 days ago
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