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NPI Code Detail

MEDICARE: CENTRAL VIRGINIA FAMILY PHYSICIANS, INC

MEDICARE: CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CA2436OTHERVAMEDICARE RAILROAD
4CI3834OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11528155892OTHERVACVFP CORPORATE NPI
3C03658OTHERVACVFP MCARE GROUP PTAN

General Provider Information

NPI Number : 1407936941
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
Provider Business Mailing Address
First Line : PO BOX 2489
Second Line :
City : FOREST
State : VA
Zip : 24551-6489
Country : US
Telephone Number : 434-382-1139
Fax Number : 434-525-5748
Provider Business Practice Location Address
First Line : 925 VILLAGE HWY
Second Line :
City : RUSTBURG
State : VA
Zip : 24588-4591
Country : US
Telephone Number : 434-332-7367
Fax Number : 434-332-1757
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS W EPPES
Credential : MD
Telephone Number : 434-525-6964
Provider Enumeration Date : 10/17/2006
Last Update Date : 09/11/2012

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1881102655 — JOHNSON HEALTH CENTER
Practice Location Address:
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24588-4591
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Directions to “CENTRAL VIRGINIA FAMILY PHYSICIANS, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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