Fort Chiswell Family Care, PLLC

Organization Active NPI Family Medicine Physician · Max Meadows, VA

NPI 1104158401 · NPPES record last updated Jun 21, 2010

Key facts

NPI
1104158401
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
FORT CHISWELL FAMILY CARE, PLLC
Practice address
791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone
(276) 637-6641
Fax
(276) 637-6741
NPI assigned
Feb 11, 2010
Organization subpart
No

Authorized official

Name
Dr. Michael H Stoker, MD
Title
Physician
Phone
(276) 637-6641

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139

Mailing address

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone (276) 637-6641

Other providers in Max Meadows, VA

All providers in Max Meadows, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.