| Doc Box | |
|
2400 Old Brick Rd Ste 60 Glen Allen VA 23060-5841 | |
| (804) 286-6224 | |
| Not Available |
| Full Name | Doc Box |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 2400 Old Brick Rd Ste 60, Glen Allen, Virginia |
| Authorized Official Name and Position | Jackson Green (ADMINISTRATOR) |
| Authorized Official Contact | 8042866224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Box 2400 Old Brick Rd Ste 60 Glen Allen VA 23060-5841 Ph: (804) 286-6224 | Doc Box 2400 Old Brick Rd Ste 60 Glen Allen VA 23060-5841 Ph: (804) 286-6224 |
| NPI Number | 1366323941 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366323941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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