Organization
INTERNAL MEDICINE ASSOCIATES OF VIRGINIA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L COLE (ADMINISTRATOR)
(804) 285-5882
Entity
Organization
Contact information
Practice address
7603 FOREST AVE, SUITE 306, RICHMOND, VA 23229-4942
(804) 282-2580
(804) 285-4823
Mailing address
7603 FOREST AVE, SUITE 306, RICHMOND, VA 23229-4942
(804) 282-2580
(804) 285-4823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025394
ANTHEM BLUE CROSS PROVIDE
VA
Enumeration date
08/31/2006
Last updated
08/05/2010
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