Retreat Internal Medicine Llc | |
110 N Robinson St Suite 400 Richmond VA 23220-4459 | |
(804) 822-3480 | |
Not Available |
Full Name | Retreat Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 110 N Robinson St, Richmond, Virginia |
Authorized Official Name and Position | Louis Joseph (VP) |
Authorized Official Contact | 6153737630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Retreat Internal Medicine Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Retreat Internal Medicine Llc 110 N Robinson St Suite 400 Richmond VA 23220-4459 Ph: (804) 822-3480 |
NPI Number | 1942355367 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 01/02/2023 |
Medicare PECOS PAC ID | 6204932767 |
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Medicare Enrollment ID | O20070501000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942355367 | NPI | - | NPPES |
1942355367 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Richard C Peebles |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609987155 PECOS PAC ID: 0547366007 Enrollment ID: I20070501000191 |
Provider Name | Joseph A James |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1699761221 PECOS PAC ID: 2365577459 Enrollment ID: I20100315000459 |
Provider Name | George T Maughan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558323824 PECOS PAC ID: 2365448438 Enrollment ID: I20100929001105 |
Provider Name | Rebecca Elizabeth Choi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497135073 PECOS PAC ID: 2466820188 Enrollment ID: I20221130000394 |
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