Organization
THE NORTHERN NECK-MIDDLESEX FREE HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ROSALYN NELSON (EXECUTIVE DIRECTOR)
(804) 435-0575
Entity
Organization
Contact information
Practice address
51 WILLIAM B GRAHAM CT, KILMARNOCK, VA 22482-3852
(804) 435-0575
(804) 435-9017
Mailing address
51 WILLIAM B GRAHAM CT, KILMARNOCK, VA 22482-3852
(804) 435-0575
(804) 435-9017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0201003193
VA
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
06/28/2019
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