# BEVERDAM FAMILY MEDICINE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEVERDAM FAMILY MEDICINE, LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821313115
- **Legal business name:** BEVERDAM FAMILY MEDICINE, LTD
- **Authorized official:** MRS. CANDACE G BITTNER (CFO)
- **Authorized official phone:** (804) 449-1717

## Contact information

- **Practice address:** 16151A TRAINHAM ROAD, BEAVERDAM, VA 23015-1301
- **Practice address phone:** (804) 449-1717
- **Practice address fax:** (804) 449-1710
- **Mailing address:** 16151A TRAINHAM ROAD, BEAVERDAM, VA 23015
- **Mailing address phone:** (804) 449-1717
- **Mailing address fax:** (804) 449-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101230106 | VA | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 03/30/2010