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

Laurel Fork Family Practice

Organization Family Medicine Physician · NPI 1336639657

Laurel Fork Family Practice is a Family Medicine Physician in Laurel Fork, Virginia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

1205 Stone Mountain Rd
Laurel Fork, VA 24352
Phone: (276) 398-2532
Fax: (276) 398-2534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101236128 (VA)

Record details

NPI number1336639657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Tracy — Owner · (276) 398-2532
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018
Mailing addressPo Box 85, Laurel Fork, VA 24352-0085

Other providers in Laurel Fork