King & Queen Family Practice Inc | |
142 Smithfield Road St Stephns Ch VA 23148-0130 | |
(804) 769-0103 | |
(804) 769-0508 |
Full Name | King & Queen Family Practice Inc |
---|---|
Speciality | Family Medicine |
Location | 142 Smithfield Road, St Stephns Ch, Virginia |
Authorized Official Name and Position | William B Gwathmy (ADMINISTRATOR) |
Authorized Official Contact | 8047690103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
King & Queen Family Practice Inc Po Box 130 St Stephns Ch VA 23148-0130 Ph: (804) 769-0103 | King & Queen Family Practice Inc 142 Smithfield Road St Stephns Ch VA 23148-0130 Ph: (804) 769-0103 |
NPI Number | 1891871224 |
---|---|
Provider Enumeration Date | 10/27/2006 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891871224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |