| Patient First - Genito | |
|
11020 Hull Street Rd Midlothian VA 23112-3200 | |
| (804) 744-6310 | |
| (804) 744-9199 |
| Full Name | Patient First - Genito |
|---|---|
| Speciality | Family Medicine |
| Location | 11020 Hull Street Rd, Midlothian, 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 |
|---|---|
| Patient First - Genito 5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 822-4355 | Patient First - Genito 11020 Hull Street Rd Midlothian VA 23112-3200 Ph: (804) 744-6310 |
| NPI Number | 1922102573 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 9931011434 |
|---|---|
| Medicare Enrollment ID | O20100930065587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922102573 | NPI | - | NPPES |
| CA1507 | Other | VA | MEDICARE RAILROAD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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