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2600 E Parham Rd Richmond VA 23228 | |
(804) 262-2333 | |
(804) 262-0848 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2600 E Parham Rd, Richmond, Virginia |
Authorized Official Name and Position | George O. Butler (DIRECTOR, CORPORATE RESPONSIBILITY) |
Authorized Official Contact | 8042810271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2600 E Parham Rd Richmond VA 23228-2932 Ph: (804) 262-2333 | 2600 E Parham Rd Richmond VA 23228 Ph: (804) 262-2333 |
NPI Number | 1831122233 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 07/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831122233 | NPI | - | NPPES |
CG5286 | Other | VA | RAILROAD MEDICARE |
C07050 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |