Healthcare Provider Details

I. General information

NPI: 1558375139
Provider Name (Legal Business Name): FAMILY MEDICAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1953 CARROLLTON PIKE
HILLSVILLE VA
24343-0038
US

IV. Provider business mailing address

PO BOX 38
HILLSVILLE VA
24343-0038
US

V. Phone/Fax

Practice location:
  • Phone: 276-728-3196
  • Fax: 276-728-4802
Mailing address:
  • Phone: 276-728-3196
  • Fax: 276-728-4802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID PENDLETON MCPHERSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 276-728-3196