Organization · Type 2 NPI
South River Medical Clinic, LLC
Primary Care Clinic/Center · Grottoes, VA
NPI number
1922381789
Active
Practice location
100 7th Street
Grottoes, VA 24441
Fax (540) 249-5902
Mailing address
PO Box 489
Grottoes, VA 24441-0489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1922381789
South River Medical Clinic, LLC's National Provider Identifier is 1922381789, issued on Sep 27, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Grottoes, VA. The record was last updated on Aug 3, 2012.