Healthcare Provider Details
I. General information
NPI: 1659475200
Provider Name (Legal Business Name): PATIENT FIRST RICHMOND MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2006
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 N THOMPSON ST
RICHMOND VA
23221-2718
US
IV. Provider business mailing address
5000 COX RD
GLEN ALLEN VA
23060-9263
US
V. Phone/Fax
- Phone: 804-359-1337
- Fax:
- Phone: 804-822-4355
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGE
H.
MORISON
Title or Position: PRESIDENT
Credential:
Phone: 804-968-5700