| Meadowbrook Medical Group, Inc. | |
|
7410 Hull Street Rd Suite 3 Richmond VA 23235-5834 | |
| (804) 794-2443 | |
| (804) 745-3800 |
| Full Name | Meadowbrook Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7410 Hull Street Rd, Richmond, Virginia |
| Authorized Official Name and Position | Joel Thomas Ashworth (PRESIDENT) |
| Authorized Official Contact | 8047942443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadowbrook Medical Group, Inc. Po Box 74056 Richmond VA 23236-0001 Ph: (804) 794-2443 | Meadowbrook Medical Group, Inc. 7410 Hull Street Rd Suite 3 Richmond VA 23235-5834 Ph: (804) 794-2443 |
| NPI Number | 1508185810 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508185810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101029898 (Virginia) | Primary |
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