Fancy Gap Internal Medicine
Fancy Gap Internal Medicine is a Nurse Practitioner in Fancy Gap, Virginia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1661 Turner Spur RdFancy Gap, VA 24328-4365
Phone: (276) 728-0735
Fax: (866) 464-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1043049828 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Roberts — Owner · (276) 728-0735 |
| Other names | Susan Tracy Roberts |
| NPI enumerated | July 30, 2024 |
| Last updated in NPPES | July 30, 2024 |
| Certification date | July 30, 2024 |
| Mailing address | 1661 Turner Spur Rd, Fancy Gap, VA 24328-4365 |