| Tri-city Multi-specialty, Llc | |
|
906 Crossings Blvd Suite C Hopewell VA 23860-6503 | |
| (804) 415-5000 | |
| (804) 415-5015 |
| Full Name | Tri-city Multi-specialty, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 906 Crossings Blvd, Hopewell, Virginia |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 8042377760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Multi-specialty, Llc 906 Crossings Blvd Suite C Hopewell VA 23860-6503 Ph: (804) 415-5000 | Tri-city Multi-specialty, Llc 906 Crossings Blvd Suite C Hopewell VA 23860-6503 Ph: (804) 415-5000 |
| NPI Number | 1134450448 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134450448 | NPI | - | NPPES |
| 1134450448 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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