Healthcare Provider Details

I. General information

NPI: 1912004110
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13332 MIDLOTHIAN TPKE
MIDLOTHIAN VA
23113-4210
US

IV. Provider business mailing address

3000 WATER COVE RD
MIDLOTHIAN VA
23112-3982
US

V. Phone/Fax

Practice location:
  • Phone: 804-794-5598
  • Fax:
Mailing address:
  • Phone: 804-744-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KRISTIE L CLOUD
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 804-794-5411