MEDICARE: PATRICIA FLEMING GENERAL M.D.

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
1	207Q00000X	Family Medicine Physician	0101-044351	VA
2	207P00000X	Emergency Medicine Physician	0101044351	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790723906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA FLEMING GENERAL M.D.

Provider Business Mailing Address
First Line	:	4442 VAUXHALL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23234-3555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4442 VAUXHALL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23234-3555
Country	:	US
Telephone Number	:	804-271-7934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/07/2009

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