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Organization
SCMD MEDICAL PC
Active
Organization
SCMD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOLORES (COO)
(916) 385-4849
Entity
Organization
Contact information
Practice address
100 SHOCKROE SLIP, FL 2, RICHMOND, VA 23219
(607) 289-3684
Mailing address
401 PARK AVE S FL 10, NEW YORK, NY 10016-8808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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