Preston Square Family Practice

LBN: Preston Square Family Practice
Preston Square Family Practice is an health care organization with primary practice located at 24294 Teal Drive , Abingdon VA 24211-6160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Preston Square Family Practice can be contacted via phone (276) 628-8303, or through Toothman, Clara Jane via phone (276) 628-8303.

Contact Information

Primary practice address
24294 Teal Drive Abingdon VA 24211-6160
Phone: (276) 628-8303
Fax: (276) 466-4815
Website:
Map and Directions
Authorized official contact:
Name: Toothman, Clara Jane Doctor of Medicine (MD)
Phone: (276) 628-8303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Virginia

Profile Details

NPI number 1114943875
LBN Legal business name Preston Square Family Practice
DBA Doing business as
Authorized official Toothman, Clara Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 16th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114943875 NPPES
Other DD3927 RR MEDICARE

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