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12 N Thompson St Richmond VA 23221-2718 | |
(804) 359-1337 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 12 N Thompson St, Richmond, Virginia |
Authorized Official Name and Position | George H. Morison (PRESIDENT) |
Authorized Official Contact | 8049685700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 822-4355 | 12 N Thompson St Richmond VA 23221-2718 Ph: (804) 359-1337 |
NPI Number | 1659475200 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 9931011434 |
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Medicare Enrollment ID | O20100930090741 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659475200 | NPI | - | NPPES |
CA1507 | Other | VA | MEDICARE RAILROAD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family 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 | |