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405 E Laburnum Ave Ste 3 Richmond VA 23222-2134 | |
(540) 200-8821 | |
(540) 779-7889 |
Full Name | |
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Speciality | Family Medicine |
Location | 405 E Laburnum Ave Ste 3, Richmond, Virginia |
Authorized Official Name and Position | Henry Burgess (OWNER) |
Authorized Official Contact | 5406823082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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674 Lees Gap Rd Fincastle VA 24090-3869 Ph: (540) 682-3082 | 405 E Laburnum Ave Ste 3 Richmond VA 23222-2134 Ph: (540) 200-8821 |
NPI Number | 1982470100 |
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Provider Enumeration Date | 11/29/2023 |
Last Update Date | 03/07/2024 |
Identifier | Type | State | Issuer |
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1982470100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |