Organization
RICHMOND FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE T MAUGHAN MD (PRESIDENT)
(804) 358-0248
Entity
Organization
Contact information
Practice address
425 N BOULEVARD, RICHMOND, VA 23220-3306
(804) 358-0248
(804) 358-9477
Mailing address
425 N BOULEVARD, RICHMOND, VA 23220-3306
(804) 358-0248
(804) 358-9477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005699673
—
VA
01
—
D1076
MEDICARE RAILROAD
VA
Enumeration date
03/21/2006
Last updated
05/15/2012
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