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Organization
ARCHWAY 60 FAMILY PRACTICE
Active
Organization
ARCHWAY 60 FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS A REID MD (PRESIDENT OWNER)
(804) 378-9657
Entity
Organization
Contact information
Practice address
1600 HUGUENDT ROAD, SUITE 121, MIDLOTHIAN, VA 23113
(804) 378-9657
(804) 378-7858
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 378-5010
(804) 378-3264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056331Z5
—
VA
01
—
33361Z
ANTHEM
VA
Enumeration date
02/20/2007
Last updated
08/28/2007
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