Dr OLIMPO FERNANDO FONSECA MD is a male medical professional, specializing in Family Medicine. He graduated in 1977 from University Of Puerto Rico School Of Medicine.
CARILION TAZEWELL COMMUNITY HOSPITAL
388 BEN BOLT AVE
TAZEWELL
VA
246519700
Tel: 2769888700
| Npi | 1265443410 |
| Pac Id | 9335168475 |
| Professional Enrollment Id | I20051117000310 |
| Last Name | FONSECA |
| First Name | OLIMPO |
| Middle Name | FERNANDO |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE |
| Organization Legal Name | CARILION TAZEWELL COMMUNITY HOSPITAL |
| Group Practice Pac Id | 4183604259 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 388 BEN BOLT AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TAZEWELL |
| State | VA |
| Zip Code | 246519700 |
| Phone Number | 2769888700 |
| Hospital Affiliation Ccn 1 | 490117 |
| Hospital Affiliation Lbn 1 | CARILION TAZEWELL COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 490127 |
| Hospital Affiliation Lbn 2 | BUCHANAN GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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