Jlcmd Pllc | |
6900 Forest Ave Ste 115 Richmond VA 23230-1730 | |
(804) 893-8710 | |
Not Available |
Full Name | Jlcmd Pllc |
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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 |
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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 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/10/2023 |
Medicare PECOS PAC ID | 5294190948 |
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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 |
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Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1427013564 PECOS PAC ID: 1355249764 Enrollment ID: I20060215000838 |
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 | |