| Independent Associates Pc | |
|
7605 Forest Ave Ste 211 Richmond VA 23229-4938 | |
| (804) 282-3114 | |
| (804) 285-9723 |
| Full Name | Independent Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7605 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | Richard Gardner Mitchell (VICE PRESIDENT) |
| Authorized Official Contact | 8042823114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Associates Pc 7605 Forest Ave Ste 211 Richmond VA 23229-4938 Ph: (804) 282-3114 | Independent Associates Pc 7605 Forest Ave Ste 211 Richmond VA 23229-4938 Ph: (804) 282-3114 |
| NPI Number | 1023106390 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 06/20/2011 |
| Medicare PECOS PAC ID | 4082892088 |
|---|---|
| Medicare Enrollment ID | O20110622000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023106390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Robert Edgar Mitchell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639252109 PECOS PAC ID: 9032397203 Enrollment ID: I20110617000491 |
| Provider Name | Richard Gardner Mitchell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457434920 PECOS PAC ID: 0345428348 Enrollment ID: I20110623000394 |
| Provider Name | Michael P Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174552764 PECOS PAC ID: 9931230349 Enrollment ID: I20110712000702 |
| Provider Name | George Blair Smallfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770667651 PECOS PAC ID: 1759432750 Enrollment ID: I20121106000087 |
| Provider Name | Harjit Kaur Bhogal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346472503 PECOS PAC ID: 6800933680 Enrollment ID: I20181031001592 |
| Provider Name | George M Henry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275953010 PECOS PAC ID: 5092930156 Enrollment ID: I20200514001582 |
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