| |
7229 Forest Ave Suite 112 Richmond VA 23226 | |
(804) 281-0275 | |
(804) 521-9344 |
Full Name | |
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Speciality | Family Medicine |
Location | 7229 Forest Ave, Richmond, Virginia |
Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTOR) |
Authorized Official Contact | 4199965119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7229 Forest Ave Suite 112 Richmond VA 23226-3765 Ph: (804) 281-0275 | 7229 Forest Ave Suite 112 Richmond VA 23226 Ph: (804) 281-0275 |
NPI Number | 1235500281 |
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Provider Enumeration Date | 10/16/2015 |
Last Update Date | 03/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235500281 | NPI | - | NPPES |
C06695 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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 | |