| Organization Name: | TAZEWELL FAMILY PHYSICANS, PC |
| NPI Number: | 1376548461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN H MACKEY (OFFICE MANAGER) |
| Mailing Address: | 123 Ben Bolt Ave Tazewell |
| State: | VA US |
| Postal Code: | 246519700 |
| Phone Number: | 2769882526 |
| Fax Number: | 2769880956 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0101030214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |