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Organization
JOHN RANDOLPH FAMILY PRACTICE LLC
Active
Organization
JOHN RANDOLPH FAMILY PRACTICE LLC
Active
Other names
Chester Medical Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VICE PRESIDENT)
(804) 237-7760
Entity
Organization
Contact information
Practice address
12900 JEFFERSON DAVIS HWY, CHESTER, VA 23831-5311
(804) 414-0300
(804) 414-0319
Mailing address
12900 JEFFERSON DAVIS HWY, CHESTER, VA 23831-5311
(804) 414-0300
(804) 414-0319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/17/2006
Last updated
06/17/2009
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