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Organization
PRIME CARE FAMILY PRACTICE, P.C.
Active
Organization
PRIME CARE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDRA F. MANN (PRACTICE MANAGER)
(804) 526-1111
Entity
Organization
Contact information
Practice address
4700 PUDDLEDOCK ROAD, SUITE 300, PRINCE GEORGE, VA 23875-1268
(804) 526-1111
(804) 526-8363
Mailing address
4700 PUDDLEDOCK ROAD, SUITE 300, PRINCE GEORGE, VA 23875-1268
(804) 526-1111
(804) 526-8363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
03/03/2025
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