| Richmond Medical Services Pllc | |
|
5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 | |
| (202) 904-3536 | |
| Not Available |
| Full Name | Richmond Medical Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5007c Victory Blvd Ste 372, Yorktown, Virginia |
| Authorized Official Name and Position | Yaisa Goodwin (CREDENTIALING CONSULTANT) |
| Authorized Official Contact | 7573398798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Medical Services Pllc 5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 Ph: (202) 904-3536 | Richmond Medical Services Pllc 5007c Victory Blvd Ste 372 Yorktown VA 23693-5601 Ph: (202) 904-3536 |
| NPI Number | 1104542281 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104542281 | NPI | - | NPPES |
| 1184891277 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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