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NPI Code Detail

MEDICARE: MARTINSVILLE PHYSICIAN PRACTICES LLC

MEDICARE: MARTINSVILLE PHYSICIAN PRACTICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RC0000XCardiovascular Disease Physician
3207RG0100XGastroenterology Physician
4207RH0003XHematology & Oncology Physician
5207V00000XObstetrics & Gynecology Physician
6207X00000XOrthopaedic Surgery Physician
7207Y00000XOtolaryngology Physician
8208000000XPediatrics Physician
9363A00000XPhysician Assistant
10363L00000XNurse Practitioner
11207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1255380887
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINSVILLE PHYSICIAN PRACTICES LLC
Provider Business Mailing Address
First Line : 300 SEVEN SPRINGS WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-6069
Country : US
Telephone Number : 615-920-7000
Fax Number : 615-920-8775
Provider Business Practice Location Address
First Line : 320 HOSPITAL DR
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1900
Country : US
Telephone Number : 434-799-4585
Fax Number : 276-666-7600
Authorized Official
Title or Position : SECRETARY
Name : CHARLOTTE LAWRENCE
Credential :
Telephone Number : 615-920-7000
Provider Enumeration Date : 05/10/2006
Last Update Date : 10/19/2024

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Directions to “MARTINSVILLE PHYSICIAN PRACTICES LLC ” Practice Location

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