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3452 Anderson Hwy Ste D Powhatan VA 23139-5845 | |
| (804) 285-6050 | |
| (804) 598-2481 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3452 Anderson Hwy Ste D, Powhatan, Virginia |
| Authorized Official Name and Position | Joseph Hardy (CFO) |
| Authorized Official Contact | 5138695016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | 3452 Anderson Hwy Ste D Powhatan VA 23139-5845 Ph: (804) 285-6050 |
| NPI Number | 1891071965 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891071965 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Molly Cage Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2746 Red Lane Rd, Powhatan, VA 23139 Phone: 804-839-3161 | |
Free Clinic Of Powhatan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3908 Old Buckingham Rd, Powhatan, VA 23139 Phone: 804-598-5637 Fax: 804-598-5636 | |
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