| Alliance Family Practice, Inc | |
|
119 W Brookland Park Blvd Richmond VA 23222-2633 | |
| (804) 304-6324 | |
| Not Available |
| Full Name | Alliance Family Practice, Inc |
|---|---|
| Speciality | General Practice |
| Location | 119 W Brookland Park Blvd, Richmond, Virginia |
| Authorized Official Name and Position | Evelyn Hall-harris (OFFICE MANAGER) |
| Authorized Official Contact | 8043046324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Practice, Inc 119 W Brookland Park Blvd Richmond VA 23222-2633 Ph: (804) 304-6324 | Alliance Family Practice, Inc 119 W Brookland Park Blvd Richmond VA 23222-2633 Ph: (804) 304-6324 |
| NPI Number | 1114414299 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 04/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114414299 | NPI | - | NPPES |
| 1346332533 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0024131004 (Virginia) | Primary |
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