| |
12900 Jefferson Davis Hwy Chester VA 23831-5311 | |
(804) 414-0300 | |
(804) 414-0319 |
Full Name | |
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Speciality | Family Medicine |
Location | 12900 Jefferson Davis Hwy, Chester, Virginia |
Authorized Official Name and Position | Carol Smith (VICE PRESIDENT) |
Authorized Official Contact | 8042377760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 | 12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 |
NPI Number | 1659330843 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 06/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659330843 | NPI | - | NPPES |
DF58380 | Other | VA | RR MEDICARE |
1659330843 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bloom Geriatrics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1714 E Hundred Rd Ste 101, Chester, VA 23836 Phone: 804-590-6750 | |
Chester Square Family Practice, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4619 Chester Square Road, Chester, VA 23831 Phone: 804-778-4747 Fax: 804-778-4487 | |
Tri-cities Geriatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 E Hundred Rd, Suite 101, Chester, VA 23836 Phone: 804-721-9148 Fax: 804-530-5295 | |
Chester Family Medcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12901 Briggs Rd, Chester, VA 23831 Phone: 804-796-2373 Fax: 804-748-9160 | |