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Organization
THE FAMILY CLINIC PLLC
Active
Organization
THE FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY PITTMAN (ADMINISTRATOR)
(804) 402-5403
Entity
Organization
Contact information
Practice address
3190 IRVINE RD, RICHMOND, KY 40475-9031
(859) 369-0070
Mailing address
PO BOX 3486, RICHMOND, VA 23235-7486
(804) 402-5403
(800) 518-9245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/07/2010
Last updated
06/21/2013
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