NPI | 1316919210 |
---|---|
Doing Business As | LEWIS-GALE FAMILY CARE - CLEARBROOK |
Entity Type | Organization |
Authorized Contact | OTIS BLACKWOOD Practice Administrator 540-772-3672 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101033197) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2020-08-22 |