| |
304 E Leigh St Suite 300 Richmond VA 23219 | |
(804) 225-7148 | |
(804) 225-7159 |
Full Name | |
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Speciality | Internal Medicine |
Location | 304 E Leigh St, Richmond, Virginia |
Authorized Official Name and Position | George O. Butler (DIRECTOR, CORPORATE RESPONSIBILITY) |
Authorized Official Contact | 8042810271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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304 E Leigh St Suite 300 Richmond VA 23219-1410 Ph: (804) 225-7148 | 304 E Leigh St Suite 300 Richmond VA 23219 Ph: (804) 225-7148 |
NPI Number | 1174853287 |
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Provider Enumeration Date | 01/12/2010 |
Last Update Date | 02/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174853287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Virginia) | Primary |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |