Primedoc Of Richmond Pc | |
1500 N 28th St Richmond VA 23223-5332 | |
(804) 225-1701 | |
Not Available |
Full Name | Primedoc Of Richmond Pc |
---|---|
Speciality | Internal Medicine |
Location | 1500 N 28th St, Richmond, Virginia |
Authorized Official Name and Position | Robert Reynolds (PRESIDENT) |
Authorized Official Contact | 8282103260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primedoc Of Richmond Pc Po Box 60446 Charlotte NC 28260-0446 Ph: (828) 210-3260 | Primedoc Of Richmond Pc 1500 N 28th St Richmond VA 23223-5332 Ph: (804) 225-1701 |
NPI Number | 1659501187 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659501187 | NPI | - | NPPES |
DA9725 | Other | VA | RAILROAD MEDICARE |
136990 | Other | VA | BLUE CROSS BLUE SHIELD |
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 | |
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