MECKLENBURG FAMILY PRACTICE

NPI # 

Practice Address:

969 Madison St

Boydton, VA, 23917-0297

Practice Phone:

434-738-6911

Practice Fax:

434-738-0431

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X