# THE FAMILY CLINIC PLLC

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

## Provider details

- **NPI number:** 1326355801
- **Authorized official:** GEOFFREY PITTMAN (ADMINISTRATOR)
- **Authorized official phone:** (804) 402-5403

## Contact information

- **Practice address:** 3190 IRVINE RD, RICHMOND, KY 40475-9031
- **Practice address phone:** (859) 369-0070
- **Mailing address:** PO BOX 3486, RICHMOND, VA 23235-7486
- **Mailing address phone:** (804) 402-5403
- **Mailing address fax:** (800) 518-9245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 06/21/2013