# CENTRAL VIRGINIA FAMILY PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA FAMILY PHYSICIANS
- **Other names:** TIMBERLAKE FAMILY PRACTICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720175961
- **Legal business name:** CENTRAL VIRGINIA FAMILY PHYSICIANS
- **Authorized official:** MATTHEW A JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (434) 846-7374

## Contact information

- **Practice address:** 20304 TIMBERLAKE RD, LYNCHBURG, VA 24502-7222
- **Practice address phone:** (434) 237-6471
- **Practice address fax:** (434) 237-8810
- **Mailing address:** PO BOX 2489, FOREST, VA 24551-6489
- **Mailing address phone:** (434) 382-1125
- **Mailing address fax:** (434) 525-5748

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1528155892 | CVFP CORPORATE NPI | VA |
| 05 | — | 1528155892 | — | VA |
| 01 | — | C03658 | CVFP MCARE GROUP PTAN | VA |
| 01 | — | CC2392 | MEDICARE RAILROAD | VA |
