| Tri-cities Geriatrics, Pc | |
|
1714 E Hundred Rd Suite 101 Chester VA 23836-3310 | |
| (804) 721-9148 | |
| (804) 530-5295 |
| Full Name | Tri-cities Geriatrics, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1714 E Hundred Rd, Chester, Virginia |
| Authorized Official Name and Position | Mohammad Farooq (PRESIDENT) |
| Authorized Official Contact | 8047219148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-cities Geriatrics, Pc 1714 E Hundred Rd Suite 101 Chester VA 23836-3310 Ph: (804) 721-9148 | Tri-cities Geriatrics, Pc 1714 E Hundred Rd Suite 101 Chester VA 23836-3310 Ph: (804) 721-9148 |
| NPI Number | 1285030528 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285030528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101055927 (Virginia) | Primary |
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