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2924 Brook Rd Children's Hospital Richmond VA 23220-1215 | |
(804) 321-7474 | |
(804) 321-2728 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2924 Brook Rd, Richmond, Virginia |
Authorized Official Name and Position | Samuel G Weidman (VICE PRESIDENT & CFO) |
Authorized Official Contact | 8043217474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2924 Brook Rd Credentialing Dept Richmond VA 23220-1215 Ph: (804) 321-7474 | 2924 Brook Rd Children's Hospital Richmond VA 23220-1215 Ph: (804) 321-7474 |
NPI Number | 1619015682 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1619015682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | H1842 (Virginia) | 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 | |