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County Med, Llc
Primary Care Clinic/Center in Blackstone, Virginia
NPI 1407580483

County Med, Llc is a Primary Care Clinic/Center based in Blackstone, VA and is specialized in Primary Care. County Med, Llc practices in Blackstone, VA. The NPI Number for County Med, Llc is 1407580483 and holds a License No. (Virginia).

The current practice location address for County Med, Llc is 103 E Broad St, Blackstone, VA and can be reached out via phone at 434-264-3221.

Location: 103 E Broad St, Blackstone, VA, 23824-0635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407580483
Provider Name
County Med, Llc
Credential
Provider Entity Type
Organization
Address
103 E Broad St, Blackstone, VA, 23824-0635
Phone Number
434-264-3221
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30017485050002 05 VA
institution
Provider Business Practice Location Address Details
Address
103 E Broad St
City
Blackstone
State
Virginia
Zip
23824-1815
Phone Number
434-264-3221
Fax Number
person
Provider Business Mailing Address Details
Address
103 E Broad St
City
Blackstone
State
Virginia
Zip
23824-1815
Phone Number
434-264-3221
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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