Horace J Jackson Md Pc | |
505 W Leigh Street Suite 207 Richmond VA 23220 | |
(804) 788-0556 | |
(804) 788-1141 |
Full Name | Horace J Jackson Md Pc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 505 W Leigh Street, Richmond, Virginia |
Authorized Official Name and Position | Horace J Jackson (PRESIDENT OWNER) |
Authorized Official Contact | 8047880556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Horace J Jackson Md Pc 505 W Leigh Street Suite 207 Richmond VA 23220 Ph: (804) 788-0556 | Horace J Jackson Md Pc 505 W Leigh Street Suite 207 Richmond VA 23220 Ph: (804) 788-0556 |
NPI Number | 1851324958 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851324958 | NPI | - | NPPES |
006O49656 | Medicaid | VA | |
006954 | Other | VA | ANTHEM BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | 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 | |