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Emdee Clinica, Pllc
Primary Care Clinic/Center in Bristol, Virginia
NPI 1154462117

Emdee Clinica, Pllc is a Primary Care Clinic/Center based in Bristol, VA and is specialized in Primary Care. Emdee Clinica, Pllc practices in Bristol, VA. The NPI Number for Emdee Clinica, Pllc is 1154462117 and holds a License No. 0101052898 (Virginia).

The current practice location address for Emdee Clinica, Pllc is 23164 Kestrel Dr, Bristol, VA and can be reached out via phone at 423-341-3040.

Location: 23164 Kestrel Dr, Bristol, VA, 24202-5070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154462117
Provider Name
Emdee Clinica, Pllc
Credential
Provider Entity Type
Organization
Address
23164 Kestrel Dr, Bristol, VA, 24202-5070
Phone Number
423-341-3040
Fax Number
Provider Enumeration Date
02/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
386590 01 VA ANTHEM, BC/BS OF VIRGINIA
P00042666 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
23164 Kestrel Dr
City
Bristol
State
Virginia
Zip
24202
Phone Number
423-341-3040
Fax Number
person
Provider Business Mailing Address Details
Address
23164 Kestrel Dr
City
Bristol
State
Virginia
Zip
24202
Phone Number
423-341-3040
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0101052898 (Virginia)
Definition
Definition to come...
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