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Individual

DR. JOEL C EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13821 VILLAGE MILL DR, MIDLOTHIAN, VA 23114-4365
(804) 794-2821
(804) 794-4072
Mailing address
PO BOX 549, MIDLOTHIAN, VA 23113-0549
(804) 794-2821
(804) 794-4072

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101035064
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006703666
VA
01
11359
CIGNA
VA
01
1200322
UNITED HEALTH CARE
VA
01
128507
SOUTHERN HEALTH
VA
01
21814
CARENT
VA
01
317420
ANTHEM
VA
Enumeration date
07/31/2006
Last updated
01/12/2009
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