# TRI-CITY MULTI-SPECIALTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134450448
- **Authorized official:** WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (804) 237-7760

## Contact information

- **Practice address:** 906 CROSSINGS BLVD, SUITE C, HOPEWELL, VA 23860-6503
- **Practice address phone:** (804) 415-5000
- **Practice address fax:** (804) 415-5015
- **Mailing address:** 906 CROSSINGS BLVD, SUITE C, HOPEWELL, VA 23860-6503
- **Mailing address phone:** (804) 415-5000
- **Mailing address fax:** (804) 415-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/26/2010
- **Last updated:** 09/07/2010