| Tuckahoe Family Medical Center | |
|
3311 Church Rd Suite 100 Richmond VA 23233 | |
| (804) 965-9087 | |
| (804) 965-0721 |
| Full Name | Tuckahoe Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3311 Church Rd, Richmond, Virginia |
| Authorized Official Name and Position | George Odell Butler (DIRECTOR OF CORP RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuckahoe Family Medical Center 3311 Church Rd Suite 100 Richmond VA 23233-1814 Ph: (804) 965-9087 | Tuckahoe Family Medical Center 3311 Church Rd Suite 100 Richmond VA 23233 Ph: (804) 965-9087 |
| NPI Number | 1528091808 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528091808 | NPI | - | NPPES |
| CA6615 | Other | VA | RAILROAD MEDICARE |
| CC4370 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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