Healthcare Provider Details

I. General information

NPI: 1902248941
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 POLO PL SUITE B
MIDLOTHIAN VA
23113-4803
US

IV. Provider business mailing address

228 WADSWORTH DR
RICHMOND VA
23236-4803
US

V. Phone/Fax

Practice location:
  • Phone: 804-379-9255
  • Fax: 804-379-6293
Mailing address:
  • Phone: 804-228-3627
  • Fax: 804-560-1312

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: MRS. DENISE LORRAINE CIN
Title or Position: OFFICE MANAGERE
Credential:
Phone: 804-228-3627