Healthcare Provider Details

I. General information

NPI: 1932134913
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 COX RD STE 180
GLEN ALLEN VA
23060-6507
US

IV. Provider business mailing address

4900 COX RD STE 180
GLEN ALLEN VA
23060-6507
US

V. Phone/Fax

Practice location:
  • Phone: 804-836-1136
  • Fax: 804-836-1137
Mailing address:
  • Phone: 804-836-1136
  • Fax: 804-836-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateVA

VIII. Authorized Official

Name: DR. JAMES JERNIGAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 804-726-8571