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Organization
LONG TERM CARE OF AMERICA-VIRGINIA, INC.
Active
Organization
LONG TERM CARE OF AMERICA-VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC G NEVIN MD (PRESIDENT)
(804) 593-5146
Entity
Organization
Contact information
Practice address
5000 MONUMENT AVE, SUITE 102, RICHMOND, VA 23230-3600
(804) 593-5146
(804) 477-7243
Mailing address
5000 MONUMENT AVE, SUITE 102, RICHMOND, VA 23230-3600
(804) 593-5146
(804) 477-7243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
03/07/2017
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