| Glen Allen Medi LLC | |
|
11551 Nuckols Rd Ste C Glen Allen VA 23059-5565 | |
| (704) 926-7546 | |
| Not Available |
| Full Name | Glen Allen Medi LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11551 Nuckols Rd Ste C, Glen Allen, Virginia |
| Authorized Official Name and Position | Andrew Rhodes (OWNER) |
| Authorized Official Contact | 7049267546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Allen Medi LLC 11551 Nuckols Rd Ste C Glen Allen VA 23059-5565 | Glen Allen Medi LLC 11551 Nuckols Rd Ste C Glen Allen VA 23059-5565 Ph: (704) 926-7546 |
| NPI Number | 1083283832 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083283832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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