Convenient Health Care, Incorporated | |
2731 S Crater Rd Petersburg VA 23805-2403 | |
(804) 733-3131 | |
(804) 862-9136 |
Full Name | Convenient Health Care, Incorporated |
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Speciality | Clinic/center - Primary Care |
Location | 2731 S Crater Rd, Petersburg, Virginia |
Authorized Official Name and Position | Stephen Frederick Vaughan (MEDICAL DIRECTOR-OWNER) |
Authorized Official Contact | 8047333131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Convenient Health Care, Incorporated 2731 S Crater Rd Petersburg VA 23805-2403 Ph: (804) 733-3131 | Convenient Health Care, Incorporated 2731 S Crater Rd Petersburg VA 23805-2403 Ph: (804) 733-3131 |
NPI Number | 1467571588 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 02/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467571588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101029194 (Virginia) | Primary |
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Vanessa O. Johnson,m.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Medical Park Boulevard, Suite B, Petersburg, VA 23805 Phone: 804-732-7100 Fax: 804-732-7101 | |
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Cvhs Downtown Petersburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 Fax: 804-957-5850 | |
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