Petersburg Clinic Company, LLC
NPI #1528022506 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1528022506
- Entity Type
- Organization
- Organization Name
- Petersburg Clinic Company, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 436 CLAREMONT CT
- Address 2
- SUITE 100
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-1765
- Phone
- (804) 526-2121
Authorized Official
- Name
- MR. DAVID L MILLER
- Title
- GROUP VP
- Phone
- (866) 647-5069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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