MEDICARE: QUICK CARE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871792622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICK CARE CENTER LLC

Provider Business Mailing Address
First Line	:	3002 STONY POINT RD
Second Line	:	SUITE A
City	:	RICHMOND
State	:	VA
Zip	:	23235-2349
Country	:	US
Telephone Number	:	804-237-0702
Fax Number	:	804-237-5348

Provider Business Practice Location Address
First Line	:	3002 STONY POINT RD
Second Line	:	SUITE A
City	:	RICHMOND
State	:	VA
Zip	:	23235-2349
Country	:	US
Telephone Number	:	804-237-0702
Fax Number	:	804-237-5348

Authorized Official
Title or Position	:	VP
Name	:	LOUIS JOSEPH
Credential	:
Telephone Number	:	615-373-7600

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	06/24/2008

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Directions to “QUICK CARE CENTER LLC ” Practice Location

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