NPI 1003834441

Russell County Clinic Corp

Organisation Pediatrics Physician Lebanon, VA

Practice location

Address: 640 Overlook Drive, Lebanon, VA 24266
Phone: (276) 889-0201
Fax: (276) 889-0018
Mailing address: PO Box 3600, Lebanon, VA 24266-0200

Authorised official

Name: David Miller
Title: Group Vp
Phone: (286) 889-0201

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Virginia →

Registry record

NPI: 1003834441
Entity type: Organization
NPI issued: 17 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.