Healthcare Provider Details

I. General information

NPI: 1669587333
Provider Name (Legal Business Name): MEDICAL MANAGEMENT & BILLING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARKWEST CIR SUITE 108
MIDLOTHIAN VA
23114-5551
US

IV. Provider business mailing address

1 PARKWEST CIR SUITE 108
MIDLOTHIAN VA
23114-5551
US

V. Phone/Fax

Practice location:
  • Phone: 804-379-9265
  • Fax: 804-379-9269
Mailing address:
  • Phone: 804-379-9265
  • Fax: 804-379-9269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE T BOTENS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 804-379-9265