Organization
GLEN ALLEN MEDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RHODES (OWNER)
(704) 926-7546
Entity
Organization
Contact information
Practice address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(704) 926-7546
Mailing address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
07/13/2021
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