Healthcare Provider Details

I. General information

NPI: 1457693210
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15769 WC MAIN ST
MIDLOTHIAN VA
23113-7327
US

IV. Provider business mailing address

15769 WC MAIN ST
MIDLOTHIAN VA
23113-7327
US

V. Phone/Fax

Practice location:
  • Phone: 804-794-5598
  • Fax: 804-378-1954
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE T BROWN
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-794-5411