| Dominion Family Care, Llc | |
|
4101 Dominion Blvd Glen Allen VA 23060-3457 | |
| (804) 747-5555 | |
| (804) 747-5550 |
| Full Name | Dominion Family Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4101 Dominion Blvd, Glen Allen, Virginia |
| Authorized Official Name and Position | Andrea L Hall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8047475555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Family Care, Llc 4101 Dominion Blvd Glen Allen VA 23060-3457 Ph: (804) 747-5555 | Dominion Family Care, Llc 4101 Dominion Blvd Glen Allen VA 23060-3457 Ph: (804) 747-5555 |
| NPI Number | 1497282503 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497282503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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