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

Mountainside Medicine PC

Organization Family Medicine Physician · NPI 1790963676

Mountainside Medicine PC is a Family Medicine Physician in Washington, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12715 Lee Hwy
Washington, VA 22747-1933
Phone: (540) 675-3080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102049877 (VA)

Record details

NPI number1790963676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McCue — President · (540) 675-3080
NPI enumeratedFebruary 4, 2008
Last updated in NPPESFebruary 4, 2008
Mailing address12715 Lee Hwy, Washington, VA 22747-1933

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