| Midlothian Primary Care, Ltd. | |
|
5001 W Village Green Dr Suite 205 Midlothian VA 23112-4801 | |
| (804) 744-6700 | |
| (804) 744-2047 |
| Full Name | Midlothian Primary Care, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 5001 W Village Green Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Kevin Achille Keller (PRESIDENT) |
| Authorized Official Contact | 8047446700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlothian Primary Care, Ltd. 5001 W Village Green Dr Suite 205 Midlothian VA 23112-4801 Ph: (804) 744-6700 | Midlothian Primary Care, Ltd. 5001 W Village Green Dr Suite 205 Midlothian VA 23112-4801 Ph: (804) 744-6700 |
| NPI Number | 1811942931 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811942931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038159 (Virginia) | Primary |
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