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1712 E Broad St Richmond VA 23223-6930 | |
(804) 644-0059 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1712 E Broad St, Richmond, Virginia |
Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3058314722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1395 Nw 167th St Miami FL 33169-5710 Ph: (305) 628-6117 | 1712 E Broad St Richmond VA 23223-6930 Ph: (804) 644-0059 |
NPI Number | 1922392497 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 10/31/2024 |
Identifier | Type | State | Issuer |
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1922392497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
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 | |