| Whole Health Physicians, Pc | |
|
611 Watkins Centre Pkwy Ste 350 Midlothian VA 23114-4404 | |
| (804) 601-4901 | |
| Not Available |
| Full Name | Whole Health Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 611 Watkins Centre Pkwy Ste 350, Midlothian, Virginia |
| Authorized Official Name and Position | Hayden M Pasco (PRESIDENT) |
| Authorized Official Contact | 8046014901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Physicians, Pc 611 Watkins Centre Parkway Suite 350 Midlothian VA 23114 Ph: (804) 601-4901 | Whole Health Physicians, Pc 611 Watkins Centre Pkwy Ste 350 Midlothian VA 23114-4404 Ph: (804) 601-4901 |
| NPI Number | 1639675507 |
|---|---|
| Provider Enumeration Date | 04/01/2018 |
| Last Update Date | 10/31/2018 |
| Medicare PECOS PAC ID | 7012263262 |
|---|---|
| Medicare Enrollment ID | O20180702002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639675507 | NPI | - | NPPES |
| 1578724274 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101247582 (Virginia) | Primary |
| Provider Name | Brian S Neely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760479257 PECOS PAC ID: 1951407014 Enrollment ID: I20110510000457 |
| Provider Name | Hayden Merrill Pasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578724274 PECOS PAC ID: 8527232727 Enrollment ID: I20111128000857 |
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