# ARCHWAY 60 FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1295879328
- **Authorized official:** DORIS A REID MD (PRESIDENT OWNER)
- **Authorized official phone:** (804) 378-9657

## Contact information

- **Practice address:** 1600 HUGUENDT ROAD, SUITE 121, MIDLOTHIAN, VA 23113
- **Practice address phone:** (804) 378-9657
- **Practice address fax:** (804) 378-7858
- **Mailing address:** PO BOX 247, MIDLOTHIAN, VA 23113
- **Mailing address phone:** (804) 378-5010
- **Mailing address fax:** (804) 378-3264

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/28/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0056331Z5 | — | VA |
| 01 | — | 33361Z | ANTHEM | VA |