| Organization Name: | BAPTIST MEDICAL CLINIC OF GALAX |
| NPI Number: | 1215161419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINA BANKS SLUSHER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 300 W Oldtown St Galax |
| State: | VA US |
| Postal Code: | 243333822 |
| Phone Number: | 2762360421 |
| Fax Number: | 2762362761 |
| NPI Enumeration Date: | 05/04/2009 |
| NPI Last Update Date: | 05/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0101044032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |