| Courthouse Family Medicine, Pllc | |
|
6760 Main St Gloucester VA 23061-5143 | |
| (804) 693-3500 | |
| (804) 693-3503 |
| Full Name | Courthouse Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6760 Main St, Gloucester, Virginia |
| Authorized Official Name and Position | Joseph Atkins Leming (PRESIDENT) |
| Authorized Official Contact | 8046933500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courthouse Family Medicine, Pllc Po Box 857 Gloucester VA 23061-0857 Ph: (804) 693-3500 | Courthouse Family Medicine, Pllc 6760 Main St Gloucester VA 23061-5143 Ph: (804) 693-3500 |
| NPI Number | 1245570795 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 03/22/2013 |
| Medicare PECOS PAC ID | 5698912202 |
|---|---|
| Medicare Enrollment ID | O20130517000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245570795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vickie L Leming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295905008 PECOS PAC ID: 3779653985 Enrollment ID: I20080530000399 |
| Provider Name | Joseph Leming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326067877 PECOS PAC ID: 7416964820 Enrollment ID: I20110111000362 |
| Provider Name | Amanda Wingfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497115661 PECOS PAC ID: 3870891070 Enrollment ID: I20160420001654 |
| Provider Name | Elise Mclawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519600 PECOS PAC ID: 9830498021 Enrollment ID: I20160421001797 |
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