Healthcare Provider Details
I. General information
NPI: 1467533877
Provider Name (Legal Business Name): FIRST MED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 RIVERBEND DR SUITE 3
CHARLOTTESVILLE VA
22911-8695
US
IV. Provider business mailing address
125 RIVERBEND DR SUITE 3
CHARLOTTESVILLE VA
22911-8695
US
V. Phone/Fax
- Phone: 434-984-4200
- Fax: 434-984-6242
- Phone: 434-984-4200
- Fax: 434-984-6242
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 0101034548 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
WILLIAM
G
TALBOTT
Title or Position: OWNER
Credential: M.D.
Phone: 434-984-4200