Lei S. Charlton, M.d., P.c. | |
1122 N 25th St Suite A Richmond VA 23223-5254 | |
(804) 649-1277 | |
(804) 649-1026 |
Full Name | Lei S. Charlton, M.d., P.c. |
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Speciality | Internal Medicine |
Location | 1122 N 25th St, Richmond, Virginia |
Authorized Official Name and Position | Lei S Charlton (DIRECTOR) |
Authorized Official Contact | 8046491277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lei S. Charlton, M.d., P.c. 1122 N 25th St Suite A Richmond VA 23223-5254 Ph: (804) 649-1277 | Lei S. Charlton, M.d., P.c. 1122 N 25th St Suite A Richmond VA 23223-5254 Ph: (804) 649-1277 |
NPI Number | 1962716928 |
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Provider Enumeration Date | 08/02/2010 |
Last Update Date | 08/02/2010 |
Medicare PECOS PAC ID | 7315131265 |
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Medicare Enrollment ID | O20101104000550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962716928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101036378 (Virginia) | Primary |
Provider Name | Lei S Charlton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427146133 PECOS PAC ID: 4880781293 Enrollment ID: I20071101000474 |
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 | |