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1800 Glenside Dr Ste 101 Richmond VA 23226-3769 | |
(804) 288-3001 | |
(804) 673-5614 |
Full Name | |
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Speciality | Family Medicine |
Location | 1800 Glenside Dr Ste 101, Richmond, Virginia |
Authorized Official Name and Position | Erika Parrish (BILLING ADMINISTRATOR) |
Authorized Official Contact | 8042880399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1800 Glenside Dr Suite 105 Richmond VA 23226-3769 Ph: (804) 288-0399 | 1800 Glenside Dr Ste 101 Richmond VA 23226-3769 Ph: (804) 288-3001 |
NPI Number | 1477560548 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 01/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477560548 | NPI | - | NPPES |
141468 | Other | VA | ANTHEM |
1750571287 | Other | VA | PRACTICE NPI |
CC6597 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family 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 | |
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 | |