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6601 W Broad St Richmond VA 23230-1723 | |
(804) 484-8891 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 6601 W Broad St, Richmond, Virginia |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-4948 Ph: () - | 6601 W Broad St Richmond VA 23230-1723 Ph: (804) 484-8891 |
NPI Number | 1023360112 |
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Provider Enumeration Date | 10/12/2012 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1023360112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (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 |