| Charter Colony Family Practice | |
|
13700 St Francis Blvd Ste 302 Midlothian VA 23114-3222 | |
| (804) 423-5050 | |
| (804) 423-5048 |
| Full Name | Charter Colony Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 13700 St Francis Blvd Ste 302, Midlothian, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Colony Family Practice 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Charter Colony Family Practice 13700 St Francis Blvd Ste 302 Midlothian VA 23114-3222 Ph: (804) 423-5050 |
| NPI Number | 1336459171 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336459171 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
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