| Archway 60 Family Practice | |
|
1600 Huguendt Road Suite 121 Midlothian VA 23113 | |
| (804) 378-9657 | |
| (804) 378-7858 |
| Full Name | Archway 60 Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Huguendt Road, Midlothian, Virginia |
| Authorized Official Name and Position | Doris A Reid (PRESIDENT OWNER) |
| Authorized Official Contact | 8043789657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archway 60 Family Practice Po Box 247 Midlothian VA 23113 Ph: (804) 378-5010 | Archway 60 Family Practice 1600 Huguendt Road Suite 121 Midlothian VA 23113 Ph: (804) 378-9657 |
| NPI Number | 1295879328 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295879328 | NPI | - | NPPES |
| 0056331Z5 | Medicaid | VA | |
| 33361Z | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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