Healthcare Provider Details
I. General information
NPI: 1437219292
Provider Name (Legal Business Name): RICHARD ALVIS JOYCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
295 EAST MAIN ST.
SCOTTSVILLE VA
24590
US
IV. Provider business mailing address
1630 SHADY GROVE CT
CHARLOTTESVILLE VA
22902-7218
US
V. Phone/Fax
- Phone: 434-286-6434
- Fax: 434-286-6436
- Phone: 434-286-6434
- Fax: 434-386-6436
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0101040938 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: