| |
5855 Bremo Rd Suite 102 Richmond VA 23226-1930 | |
(804) 673-2814 | |
(804) 673-2873 |
Full Name | |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 5855 Bremo Rd, Richmond, Virginia |
Authorized Official Name and Position | George Butler (DIRECTOR CORPORATE RESPONSIBILITY) |
Authorized Official Contact | 8042810271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5855 Bremo Rd Suite 102 Richmond VA 23226-1930 Ph: (804) 673-2814 | 5855 Bremo Rd Suite 102 Richmond VA 23226-1930 Ph: (804) 673-2814 |
NPI Number | 1013344944 |
---|---|
Provider Enumeration Date | 10/10/2013 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013344944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (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 | |