Centerwell Senior Primary Care Va Pllc
NPI #1912786054 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1912786054
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Va Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE VA PLLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 5310 TWIN HICKORY RD STE A
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23059-5783
- Phone
- (042) 730-0108
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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