Griffith Clinic Pc | |
5962 Cople Hwy Mount Holly VA 22524-9999 | |
(804) 472-2477 | |
(804) 472-3154 |
Full Name | Griffith Clinic Pc |
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Speciality | Family Medicine |
Location | 5962 Cople Hwy, Mount Holly, Virginia |
Authorized Official Name and Position | Robin G Feaganes (BILLING MGR) |
Authorized Official Contact | 5408851045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Griffith Clinic Pc Po Box 31354 Richmond VA 23294-1354 Ph: (804) 472-2477 | Griffith Clinic Pc 5962 Cople Hwy Mount Holly VA 22524-9999 Ph: (804) 472-2477 |
NPI Number | 1598949745 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598949745 | NPI | - | NPPES |
5608716 | Medicaid | VA | |
034169 | Other | VA | ANTHEM BLUE CROSS |
080066928 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101012891 (Virginia) | Primary |