| Richmond Family Practice Pllc | |
|
425 N Boulevard Richmond VA 23220-3306 | |
| (804) 358-0248 | |
| (804) 358-9477 |
| Full Name | Richmond Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 425 N Boulevard, Richmond, Virginia |
| Authorized Official Name and Position | George T Maughan (PRESIDENT) |
| Authorized Official Contact | 8043580248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Family Practice Pllc 425 N Boulevard Richmond VA 23220-3306 Ph: (804) 358-0248 | Richmond Family Practice Pllc 425 N Boulevard Richmond VA 23220-3306 Ph: (804) 358-0248 |
| NPI Number | 1083673701 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083673701 | NPI | - | NPPES |
| D1076 | Other | VA | MEDICARE RAILROAD |
| 005699673 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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