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8580 Magellan Pkwy Bldg 4 Richmond VA 23227-1149 | |
(804) 627-5360 | |
(804) 627-5196 |
Full Name | |
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Speciality | Family Medicine |
Location | 8580 Magellan Pkwy, Richmond, Virginia |
Authorized Official Name and Position | Kevin W. Barr (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 8042810219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8580 Magellan Pkwy Building Iv Richmond VA 23227-1149 Ph: (804) 627-5360 | 8580 Magellan Pkwy Bldg 4 Richmond VA 23227-1149 Ph: (804) 627-5360 |
NPI Number | 1962410357 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 05/28/2008 |
Identifier | Type | State | Issuer |
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1962410357 | 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 | |