Inspire Primary Care Pllc | |
4823 S Laburnum Ave Ste B Richmond VA 23231-2713 | |
(804) 597-9192 | |
(888) 571-6303 |
Full Name | Inspire Primary Care Pllc |
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Speciality | Clinic/Center |
Location | 4823 S Laburnum Ave Ste B, Richmond, Virginia |
Authorized Official Name and Position | Carla Lynette King (PEDIATRICIAN/CO-OWNER) |
Authorized Official Contact | 8043706660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inspire Primary Care Pllc 6751 Gills Gate Ct Chesterfield VA 23832-6005 Ph: () - | Inspire Primary Care Pllc 4823 S Laburnum Ave Ste B Richmond VA 23231-2713 Ph: (804) 597-9192 |
NPI Number | 1578257655 |
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Provider Enumeration Date | 06/02/2023 |
Last Update Date | 07/31/2023 |
Medicare PECOS PAC ID | 0547620114 |
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Medicare Enrollment ID | O20230713003080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578257655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Hope A Haffizulla |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689645327 PECOS PAC ID: 5890727556 Enrollment ID: I20050902000317 |
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