Halifax Clinic Inc
Organization Active NPI Family Medicine Physician · Halifax, VA
NPI 1073786356 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1073786356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101029850 (VA)
- Legal business name
- HALIFAX CLINIC INC
- Practice address
- 235 N Main St
Halifax, VA 24558 - Phone
- (434) 476-7455
- Fax
- (434) 476-6385
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Francis Barnes Mitchell, MD
- Title
- President
- Phone
- (434) 476-7455
Practitioners 4
-
Kimberly Lloyd Jones, LPN
-
Shannon N Scearce, DNP, FNP-C
-
Brenda Sue Waller, M.D.
National Provider Directory
Locations
235 N Main St
Halifax, VA 24558
Phone (434) 476-7455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 0101029850 | VA | Yes |
Addresses
Primary practice location
235 N Main St
Halifax, VA 24558
Mailing address
PO Box 849
Halifax, VA 24558
Phone (434) 476-7455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282511 | Other | VA | BLUE CROSS |
Other providers in Halifax, VA
- Commonwealth of Virginia State Board of Health
- Marlise Blanks Crowe
- Joan M Davis
- E & R Transportation Services LLC
- Beth Ann Gillis
- Halifax County Department of Social Services
- Halifax County Public Schools
- Home Care Alliance of Virginia Inc
- Kimberly Lloyd Jones
- Lecels Adult Home
All providers in Halifax, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.