| John Randolph Family Practice, Llc | |
|
12900 Jefferson Davis Hwy Chester VA 23831-5311 | |
| (804) 414-0300 | |
| Not Available |
| Full Name | John Randolph Family Practice, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12900 Jefferson Davis Hwy, Chester, Virginia |
| Authorized Official Name and Position | Carol Smith (VP) |
| Authorized Official Contact | 8044140300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Randolph Family Practice, Llc 12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 | John Randolph Family Practice, Llc 12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 |
| NPI Number | 1629006671 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629006671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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