Chester Square Family Practice, Plc | |
4619 Chester Square Road Chester VA 23831-1726 | |
(804) 778-4747 | |
(804) 778-4487 |
Full Name | Chester Square Family Practice, Plc |
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Speciality | Family Medicine |
Location | 4619 Chester Square Road, Chester, Virginia |
Authorized Official Name and Position | Brian Grieg Burijon (M.D./BUSINESS OWNER) |
Authorized Official Contact | 8047784747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chester Square Family Practice, Plc 4619 Chester Square Road Chester VA 23831-1726 Ph: (804) 778-4747 | Chester Square Family Practice, Plc 4619 Chester Square Road Chester VA 23831-1726 Ph: (804) 778-4747 |
NPI Number | 1023292885 |
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Provider Enumeration Date | 12/28/2007 |
Last Update Date | 10/22/2008 |
Medicare PECOS PAC ID | 7214095421 |
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Medicare Enrollment ID | O20081016000387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023292885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101052854 (Virginia) | Primary |
Provider Name | Brian G Burijon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386638641 PECOS PAC ID: 8729169321 Enrollment ID: I20080122000410 |
Provider Name | Jasmine A Huskey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437698057 PECOS PAC ID: 5193002194 Enrollment ID: I20190212001537 |
Provider Name | Ronica R Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396358610 PECOS PAC ID: 3072929660 Enrollment ID: I20210305000703 |
Provider Name | Christina Harper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629651799 PECOS PAC ID: 9335548601 Enrollment ID: I20210519001377 |
Provider Name | Shannon F Rhodes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952054231 PECOS PAC ID: 4981082401 Enrollment ID: I20220610002439 |
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