Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fancy Gap Internal Medicine

Organization Internal Medicine Physician · NPI 1376940643

Fancy Gap Internal Medicine is an Internal Medicine Physician in Fancy Gap, Virginia. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
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Practice location Address checks out

1661 Turner Spur Rd
Fancy Gap, VA 24328-4365
Phone: (276) 728-0735
Fax: (276) 728-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NC)

Record details

NPI number1376940643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Roberts — Nurse Practitioner · (336) 707-7734
NPI enumeratedDecember 2, 2014
Last updated in NPPESJuly 21, 2022
Mailing address1661 Turner Spur Rd, Fancy Gap, VA 24328-4365