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6900 Midlothian Tpke Richmond VA 23225-5635 | |
(804) 635-0590 | |
(877) 471-2998 |
Full Name | |
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Speciality | Internal Medicine |
Location | 6900 Midlothian Tpke, Richmond, Virginia |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | 6900 Midlothian Tpke Richmond VA 23225-5635 Ph: (804) 635-0590 |
NPI Number | 1700586047 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 08/19/2024 |
Identifier | Type | State | Issuer |
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1700586047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (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 | |