MARTINSVILLE FAMILY MEDICINE NPI 1902357940

NPI Information

MARTINSVILLE FAMILY MEDICINE is a family nurse practitioner in Martinsville, VA. MARTINSVILLE FAMILY MEDICINE NPI is 1902357940. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Favero Family Practice.

The provider's business location address is:

2696 GREENSBORO RD
MARTINSVILLE, VA
ZIP 24112-106
Phone: (276) 638-7205
Fax: (276) 638-3389

The provider's authorized official is John Patrick Favero .
The authorized official title is Owner/president and has the following contact phone number (276) 638-7205.

The CLIA number assigned to this NPI record is 49D2046941 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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