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Organization
ALLIANCE FAMILY HEALTH CARE, PC
Active
Organization
ALLIANCE FAMILY HEALTH CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALFREDA BOOKER (BILLING MANAGER)
(804) 323-5575
Entity
Organization
Contact information
Practice address
3333 S CRATER RD, SUITE 3A, PETERSBURG, VA 23805-9276
(804) 733-3438
(804) 733-7424
Mailing address
3333 S CRATER RD, SUITE 3A, PETERSBURG, VA 23805-9276
(804) 733-3438
(804) 733-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101038398
STATE ID
VA
01
—
10211
ANTHEM ID
—
01
—
102116
ANTHEM ID
—
01
—
269424
CIGNA ID
—
01
—
8119813
OPTIMUM CHOICE
—
01
—
P00244001
RAILROAD MEDICARE
VA
Enumeration date
08/01/2006
Last updated
03/07/2023
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