Aylett Medical Center | |
1041 Sharon Rd Ste 205 King William VA 23086-3344 | |
(804) 769-3096 | |
(804) 769-3170 |
Full Name | Aylett Medical Center |
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Speciality | Family Medicine |
Location | 1041 Sharon Rd Ste 205, King William, Virginia |
Authorized Official Name and Position | Wilbur Gay (CFO) |
Authorized Official Contact | 8645617672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aylett Medical Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Aylett Medical Center 1041 Sharon Rd Ste 205 King William VA 23086-3344 Ph: (804) 769-3096 |
NPI Number | 1437182094 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 09/03/2020 |
Medicare PECOS PAC ID | 6507775293 |
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Medicare Enrollment ID | O20190507002423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437182094 | NPI | - | NPPES |
CN2764 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |