Tri-Medical LLC

Organization Active NPI Family Medicine Physician · Fairlawn, VA

NPI 1174568893 · NPPES record last updated Jan 21, 2008

Key facts

NPI
1174568893
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
TRI-MEDICAL LLC
Practice address
7350 Peppers Ferry Blvd
Fairlawn, VA 24141-8856
Phone
(540) 633-2512
NPI assigned
Jun 17, 2006
Organization subpart
No

Authorized official

Name
Carol Smith
Title
VP
Phone
(540) 633-2512

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

7350 Peppers Ferry Blvd
Fairlawn, VA 24141-8856

Mailing address

7350 Peppers Ferry Blvd
Fairlawn, VA 24141-8856
Phone (540) 633-2512

Other identifiers

IdentifierTypeStateIssuer
1174568893MedicaidVA

Other providers in Fairlawn, VA

All providers in Fairlawn, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.