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2660 New Market Rd Richmond VA 23231-7408 | |
(804) 795-1144 | |
(804) 795-1052 |
Full Name | |
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Speciality | Family Medicine |
Location | 2660 New Market Rd, Richmond, Virginia |
Authorized Official Name and Position | John P Kowalski (VICE PRESIDENT) |
Authorized Official Contact | 8047951144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1414 N 22nd St Richmond VA 23223-5152 Ph: (804) 683-6959 | 2660 New Market Rd Richmond VA 23231-7408 Ph: (804) 795-1144 |
NPI Number | 1669701249 |
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Provider Enumeration Date | 12/10/2009 |
Last Update Date | 12/10/2009 |
Identifier | Type | State | Issuer |
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1669701249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0024168551 (Virginia) | 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 | |