institution
Charles City Medical Group Inc
Adult Medicine Physician in Richmond, Virginia
NPI 1043267693

Charles City Medical Group Inc is an Adult Medicine Physician based in Richmond, VA and is specialized in Adult Medicine. Charles City Medical Group Inc practices in Richmond, VA. The NPI Number for Charles City Medical Group Inc is 1043267693 and holds a License No. 0101052550 (Virginia).

The current practice location address for Charles City Medical Group Inc is 921 Hull St, Richmond, VA and can be reached out via phone at 804-230-4913 and via fax at 804-233-7034.

Location: 921 Hull St, Richmond, VA, 23224-4069
institution
Provider Profile Details
NPI Number
1043267693
Provider Name
Charles City Medical Group Inc
Credential
Provider Entity Type
Organization
Address
921 Hull St, Richmond, VA, 23224-4069
Phone Number
804-230-4913
Fax Number
804-233-7034
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5620911 05 VA
institution
Provider Business Practice Location Address Details
Address
921 Hull St
City
State
Zip
23224-4069
Phone Number
804-230-4913
Fax Number
804-233-7034
person
Provider Business Mailing Address Details
Address
921 Hull St
City
State
Zip
23224-4069
Phone Number
804-230-4913
Fax Number
804-233-7034
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
0101052550 (Virginia)
Definition
Definition to come.
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