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NPI Code Detail

MEDICARE: DR. JANET EDDY MD

MEDICARE: DR. JANET EDDY MD
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 Physician0101042501VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C09633OTHERVAGROUP PTAN

General Provider Information

NPI Number : 1912986860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET EDDY MD
Provider Business Mailing Address
First Line : 8000 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1306
Country : US
Telephone Number : 804-612-7065
Fax Number : 804-612-7066
Provider Business Practice Location Address
First Line : 8000 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1306
Country : US
Telephone Number : 804-612-7065
Fax Number : 804-612-7066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 04/08/2013

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