Commonwealth Primary Care
NPI #1336157858 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1336157858
- Entity Type
- Organization
- Organization Name
- Commonwealth Primary Care
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Nov 8, 2007
Practice Location
- Address
- 4050 INNSLAKE DR
- Address 2
- STE 308
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060
- Phone
- (804) 521-5310
Authorized Official
- Name
- MS. KELLY SHEPHERD
- Title
- HOSPITALIST ADMINISTRATOR
- Phone
- (804) 521-5315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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