| Primary Square Inc. | |
|
13553 Midlothian Tpke Midlothian VA 23113-4261 | |
| (804) 614-8619 | |
| (844) 777-1754 |
| Full Name | Primary Square Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 13553 Midlothian Tpke, Midlothian, Virginia |
| Authorized Official Name and Position | George Bruce Sowers (PRESIDENT & CEO) |
| Authorized Official Contact | 8046148619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Square Inc. 15801 Swindon Way Midlothian VA 23112-5531 Ph: (804) 614-8619 | Primary Square Inc. 13553 Midlothian Tpke Midlothian VA 23113-4261 Ph: (804) 614-8619 |
| NPI Number | 1609794734 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609794734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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