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6900 Forest Ave Suite 300 Richmond VA 23230-1729 | |
(804) 346-1515 | |
(804) 270-2888 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 6900 Forest Ave, Richmond, Virginia |
Authorized Official Name and Position | Cindy Mattioli (PRACTICE MANAGER) |
Authorized Official Contact | 8043461515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6900 Forest Ave Suite 300 Richmond VA 23230-1729 Ph: (804) 346-1515 | 6900 Forest Ave Suite 300 Richmond VA 23230-1729 Ph: (804) 346-1515 |
NPI Number | 1578609384 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 02/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578609384 | NPI | - | NPPES |
B4715 | Other | MEDICARE RAILROAD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (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 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |