Lynchburg Family Medicine And Minor Emergency Center Pc in Lynchburg - Physician Assistant

Lynchburg Family Medicine And Minor Emergency Center Pc - NPI 1659364669

Lynchburg Family Medicine And Minor Emergency Center Pc is a Physician Assistant in Lynchburg, Tennessee. Lynchburg Family Medicine And Minor Emergency Center Pc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lynchburg Family Medicine And Minor Emergency Center Pc is 1659364669. The last update date is 2008-09-22.

Lynchburg Family Medicine And Minor Emergency Center Pc's current location address is 12 Magnolia Dr, Lynchburg, Tennessee. You can contact this provider via phone number 9317595044 and fax number 9317595042. The mailing address for Lynchburg Family Medicine And Minor Emergency Center Pc is 12 Magnolia Dr, Lynchburg, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lynchburg Family Medicine And Minor Emergency Center Pc
Address 12 Magnolia Dr, Lynchburg, Tennessee
Phone Number 9317595044
Fax Number 9317595042
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PA C
Authorized Official Name Stegall Dwight Todd
Credentials PA C
Telephone Number 9317595044

NPI Number Detail

NPI Number 1659364669
Provider Enumeration Date 2005-08-24
Last Updated Date 2008-09-22

Provider Mailing Address Detail

Address 12 Magnolia Dr
City Lynchburg
State Tennessee (TN)
Post Code 373528373
Phone Number 9317595044
Fax Number 9317595042

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 872
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4090439 TN --

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FAQs about Lynchburg Family Medicine And Minor Emergency Center Pc

What is the unique identification code assigned to Lynchburg Family Medicine And Minor Emergency Center Pc by the Centers for Medicare & Medicaid Services?

The Lynchburg Family Medicine And Minor Emergency Center Pc has been issued the NPI (National Provider Identifier) 1659364669. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lynchburg Family Medicine And Minor Emergency Center Pc?

The Lynchburg Family Medicine And Minor Emergency Center Pc is physically situated at 12 Magnolia Dr, in the city of Lynchburg, state of TN, with the postal code 373528373.

What is the Lynchburg Family Medicine And Minor Emergency Center Pc's specialty and taxonomy code?

The Lynchburg Family Medicine And Minor Emergency Center Pc's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659364669 to Lynchburg Family Medicine And Minor Emergency Center Pc?

The Lynchburg Family Medicine And Minor Emergency Center Pc received its 1659364669 assignment from the Centers for Medicare & Medicaid Services on 2005-08-24.

As of what date were the details pertaining to Lynchburg Family Medicine And Minor Emergency Center Pc last refreshed?

The information related to the Lynchburg Family Medicine And Minor Emergency Center Pc, including its address, specialty, and other relevant details, was last updated on 2008-09-22.

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