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Organization
COMMONWEALTH PRIMARY CARE
Active
Organization
COMMONWEALTH PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA PARRISH (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization
Contact information
Practice address
1800 GLENSIDE DR STE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Mailing address
1800 GLENSIDE DR STE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141467
ANTHEM
VA
01
—
141464
ANTHEM
VA
01
—
141465
ANTHEM
VA
01
—
141466
ANTHEM
VA
01
—
141468
ANTHEM
VA
01
—
141469
ANTHEM
VA
01
—
292413
ANTHEM
VA
01
—
303278
ANTHEM
VA
01
—
304078
ANTHEM
VA
01
—
CC6597
MEDICARE RAILROAD
VA
01
—
CJ7063
MEDICARE RAILROAD
VA
01
—
CK5367
MEDICARE RAILROAD
VA
01
—
CL1914
MEDICARE RAILROAD
VA
Enumeration date
07/31/2007
Last updated
09/15/2011
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