| Inspire Primary Care PLLC | |
|
4823 S Laburnum Ave Ste B Richmond VA 23231-2713 | |
| (804) 597-9192 | |
| (888) 571-6303 |
| Full Name | Inspire Primary Care PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4823 S Laburnum Ave Ste B, Richmond, Virginia |
| Authorized Official Name and Position | Carla Lynette King (PEDIATRICIAN/CO-OWNER) |
| Authorized Official Contact | 8043706660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Primary Care PLLC 6751 Gills Gate Ct Chesterfield VA 23832-6005 | Inspire Primary Care PLLC 4823 S Laburnum Ave Ste B Richmond VA 23231-2713 Ph: (804) 597-9192 |
| NPI Number | 1578257655 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 0547620114 |
|---|---|
| Medicare Enrollment ID | O20230713003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578257655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Hope a Haffizulla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689645327 PECOS PAC ID: 5890727556 Enrollment ID: I20050902000317 |
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