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 |
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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 |
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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 |
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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 |
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 | |