Provider Demographics
NPI:1871853275
Name:DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Entity Type:Organization
Organization Name:DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Other - Org Name:PEDIATRIC FAMILY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-372-8500
Mailing Address - Street 1:106 DOCTORS PARK
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2276
Mailing Address - Country:US
Mailing Address - Phone:276-236-8166
Mailing Address - Fax:276-236-5247
Practice Address - Street 1:106 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2276
Practice Address - Country:US
Practice Address - Phone:276-236-8166
Practice Address - Fax:276-236-5247
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health