| Selectsync Medical, PA | |
|
504 N Meadow St Richmond VA 23220-2804 | |
| (601) 559-6188 | |
| (800) 381-3417 |
| Full Name | Selectsync Medical, PA |
|---|---|
| Speciality | General Practice |
| Location | 504 N Meadow St, Richmond, Virginia |
| Authorized Official Name and Position | Chet Allen Tharpe (OWNER) |
| Authorized Official Contact | 6015596188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selectsync Medical, PA 14317 Revelry Blvd Midlothian VA 23114-5500 | Selectsync Medical, PA 504 N Meadow St Richmond VA 23220-2804 Ph: (601) 559-6188 |
| NPI Number | 1467278655 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 09/30/2026 |
| Certification Date | 09/30/2026 |
| Medicare PECOS PAC ID | 5799281416 |
|---|---|
| Medicare Enrollment ID | O20251001004197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467278655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Chet Tharpe |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053541581 PECOS PAC ID: 7416106216 Enrollment ID: I20190906002912 |
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