Mobjack Medical Group | |
6506 Main St Gloucester VA 23061-6103 | |
(804) 684-5043 | |
Not Available |
Full Name | Mobjack Medical Group |
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Speciality | Family Medicine |
Location | 6506 Main St, Gloucester, Virginia |
Authorized Official Name and Position | Francis Thornton West (PRESIDENT) |
Authorized Official Contact | 8046845043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mobjack Medical Group 6506 Main St Gloucester VA 23061-6103 Ph: (804) 684-5043 | Mobjack Medical Group 6506 Main St Gloucester VA 23061-6103 Ph: (804) 684-5043 |
NPI Number | 1588903736 |
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Provider Enumeration Date | 02/07/2013 |
Last Update Date | 02/07/2013 |
Medicare PECOS PAC ID | 3072751171 |
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Medicare Enrollment ID | O20130531000347 |
Identifier | Type | State | Issuer |
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1588903736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101242168 (Virginia) | Primary |
207R00000X | Internal Medicine | 0101242319 (Virginia) | Secondary |
Provider Name | Francis Thorton West |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235226176 PECOS PAC ID: 2567559644 Enrollment ID: I20071106000751 |
Courthouse Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6760 Main St, Gloucester, VA 23061 Phone: 804-693-3500 Fax: 804-693-3503 | |
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