| Revolution Health Center Plc | |
|
190 James River Rd Scottsville VA 24590-3812 | |
| (434) 321-5257 | |
| (434) 321-5259 |
| Full Name | Revolution Health Center Plc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 190 James River Rd, Scottsville, Virginia |
| Authorized Official Name and Position | Zachary Monroe Bush (PRESIDENT) |
| Authorized Official Contact | 4345667628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Health Center Plc 3048 Alberene Church Ln Esmont VA 22937-1516 Ph: (434) 566-7628 | Revolution Health Center Plc 190 James River Rd Scottsville VA 24590-3812 Ph: (434) 321-5257 |
| NPI Number | 1629399977 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629399977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0101239018 (Virginia) | Primary |
Scottsville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 E Main St, Scottsville, VA 24590 Phone: 434-286-6434 Fax: 434-286-6436 |