Fancy Gap Internal Medicine

LBN: Fancy Gap Internal Medicine
Fancy Gap Internal Medicine is an health care organization with primary practice located at 1661 Turner Spur Rd , Fancy Gap VA 24328-4365. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fancy Gap Internal Medicine can be contacted via phone (276) 728-0735, or through Roberts, Susan Tracy via phone (336) 707-7734.

Contact Information

Primary practice address
1661 Turner Spur Rd Fancy Gap VA 24328-4365
Phone: (276) 728-0735
Fax: (276) 728-7717
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Susan Tracy NP-C
Phone: (336) 707-7734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X North Carolina

Profile Details

NPI number 1376940643
LBN Legal business name Fancy Gap Internal Medicine
DBA Doing business as
Authorized official Roberts, Susan Tracy NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2014
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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