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1053403378
PROVIDENCE FAMILY & SPORTS MEDICINE, INC
DANVILLE, VA
NPI
1053403378
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Entity Type
Organization
Authorized Contact
LISA CAMPBELL WOOD
Office Manager
434-791-4110
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-09-28
Last Update Date
2022-05-26
Business Address
PROVIDENCE FAMILY & SPORTS MEDICINE, INC
173 EXECUTIVE DR
DANVILLE, VA 24541-4101
Phone number: 434-791-4110
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Mailing Address
PROVIDENCE FAMILY & SPORTS MEDICINE, INC
173 EXECUTIVE DR
DANVILLE, VA 24541-4101
Phone number: 434-791-4110
Copy
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