| Commonwealth Internal Medicine Associates | |
|
9220 Forest Hill Ave Suite 1-a Richmond VA 23235-6800 | |
| (804) 560-8838 | |
| (804) 560-3527 |
| Full Name | Commonwealth Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 9220 Forest Hill Ave, Richmond, Virginia |
| Authorized Official Name and Position | Kimberly M Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Internal Medicine Associates 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Commonwealth Internal Medicine Associates 9220 Forest Hill Ave Suite 1-a Richmond VA 23235-6800 Ph: (804) 560-8838 |
| NPI Number | 1265719504 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265719504 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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