Richmond Medical Services Pllc | |
5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 | |
(202) 904-3536 | |
Not Available |
Full Name | Richmond Medical Services Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 5007c Victory Blvd Ste 372, Yorktown, Virginia |
Authorized Official Name and Position | Yaisa Goodwin (CREDENTIALING CONSULTANT) |
Authorized Official Contact | 7573398798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richmond Medical Services Pllc 5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 Ph: (202) 904-3536 | Richmond Medical Services Pllc 5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 Ph: (202) 904-3536 |
NPI Number | 1104542281 |
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Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/19/2022 |
Certification Date | 10/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104542281 | NPI | - | NPPES |
1184891277 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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