| M J Edwards Llc | |
|
8900 Three Chopt Rd Ste C Richmond VA 23229-4615 | |
| (804) 564-4095 | |
| (804) 288-0035 |
| Full Name | M J Edwards Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8900 Three Chopt Rd Ste C, Richmond, Virginia |
| Authorized Official Name and Position | Martha Edwards (LCSW) |
| Authorized Official Contact | 8044057036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M J Edwards Llc 8900 Three Chopt Rd Ste C Richmond VA 23229-4615 Ph: (804) 564-4095 | M J Edwards Llc 8900 Three Chopt Rd Ste C Richmond VA 23229-4615 Ph: (804) 564-4095 |
| NPI Number | 1619444288 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 12/24/2018 |
| Medicare PECOS PAC ID | 0941546238 |
|---|---|
| Medicare Enrollment ID | O20190108000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619444288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Martha J Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104121284 PECOS PAC ID: 4385827278 Enrollment ID: I20110330001010 |
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