NPI 1407580483

County Med, LLC

Organisation Primary Care Clinic/Center Blackstone, VA

Practice location

Address: 103 E Broad St, Blackstone, VA 23824-1815
Phone: (434) 264-3221
Mailing address: PO Box 635, Blackstone, VA 23824-0635

Authorised official

Name: Shantel Latta
Title: Owner
Phone: (434) 294-3825

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1407580483
Entity type: Organization
NPI issued: 14 Jul 2022
Record last updated: 1 Aug 2023

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.