| Jlcmd Pllc | |
|
6900 Forest Ave Ste 115 Richmond VA 23230-1730 | |
| (804) 893-8710 | |
| Not Available |
| Full Name | Jlcmd Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6900 Forest Ave Ste 115, Richmond, Virginia |
| Authorized Official Name and Position | Judy Chin (OWNER) |
| Authorized Official Contact | 8042409312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlcmd Pllc 3808 Thamesford Way Henrico VA 23233-1755 Ph: (804) 240-9312 | Jlcmd Pllc 6900 Forest Ave Ste 115 Richmond VA 23230-1730 Ph: (804) 893-8710 |
| NPI Number | 1043917966 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 5294190948 |
|---|---|
| Medicare Enrollment ID | O20230502001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043917966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judy Ling Chin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427013564 PECOS PAC ID: 1355249764 Enrollment ID: I20060215000838 |
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