| James River Neurology, Pc | |
|
1457 Johnston Willis Dr Richmond VA 23235-4730 | |
| (804) 332-6624 | |
| (804) 302-4291 |
| Full Name | James River Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1457 Johnston Willis Dr, Richmond, Virginia |
| Authorized Official Name and Position | Philip A Davenport (PRESIDENT) |
| Authorized Official Contact | 8043056623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James River Neurology, Pc 12860 Olde King Ln Midlothian VA 23113-9682 Ph: (804) 332-6624 | James River Neurology, Pc 1457 Johnston Willis Dr Richmond VA 23235-4730 Ph: (804) 332-6624 |
| NPI Number | 1538388277 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538388277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101052402 (Virginia) | Primary |
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