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Organization
CHARLES CITY MEDICAL GROUP INC
Active
Organization
CHARLES CITY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LERLA G JOSEPH M.D. (PRESIDENT/PHYSICIAN)
(804) 230-4913
Entity
Organization
Contact information
Practice address
921 HULL ST, RICHMOND, VA 23224-4069
(804) 230-4913
(804) 233-7034
Mailing address
921 HULL ST, RICHMOND, VA 23224-4069
(804) 230-4913
(800) 609-6810
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101052550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5620911
—
VA
Enumeration date
05/28/2006
Last updated
07/09/2023
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