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5855 Bremo Rd Suite 102 Richmond VA 23226-1926 | |
(804) 673-2814 | |
(804) 673-2873 |
Full Name | |
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Speciality | Internal Medicine |
Location | 5855 Bremo Rd, Richmond, Virginia |
Authorized Official Name and Position | Kimberly M Ralston (SYSTEM DIRECTOR) |
Authorized Official Contact | 4199965119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | 5855 Bremo Rd Suite 102 Richmond VA 23226-1926 Ph: (804) 673-2814 |
NPI Number | 1265465777 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 10/05/2021 |
Identifier | Type | State | Issuer |
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1265465777 | NPI | - | NPPES |
CB6262 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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 | |