Provider Demographics
NPI:1427362730
Name:TOTAL FAMILY CARE PLLC
Entity Type:Organization
Organization Name:TOTAL FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:434-728-2839
Mailing Address - Street 1:PO BOX 10758
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24543-5013
Mailing Address - Country:US
Mailing Address - Phone:434-710-4305
Mailing Address - Fax:
Practice Address - Street 1:4500 RIVERSIDE DR
Practice Address - Street 2:SUITE B
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5167
Practice Address - Country:US
Practice Address - Phone:434-710-4305
Practice Address - Fax:434-202-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty