| Dr. Zelda West Johnson & Associates | |
|
101 Cowardin Ave Suite 307 Richmond VA 23224-2078 | |
| (804) 644-5440 | |
| (804) 497-3397 |
| Full Name | Dr. Zelda West Johnson & Associates |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 Cowardin Ave, Richmond, Virginia |
| Authorized Official Name and Position | Zelda West Johnson (MANAGING MEMBER) |
| Authorized Official Contact | 8046445440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Zelda West Johnson & Associates Po Box 8001 Richmond VA 23223-0001 Ph: (804) 644-5440 | Dr. Zelda West Johnson & Associates 101 Cowardin Ave Suite 307 Richmond VA 23224-2078 Ph: (804) 644-5440 |
| NPI Number | 1679628499 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679628499 | NPI | - | NPPES |
| 005602912 | Medicaid | VA | |
| 005630070 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101057120 (Virginia) | Primary |
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