Organization
PROFESSIONAL HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSIA HILL (PRACTICE MANAGER)
(804) 732-0372
Entity
Organization
Contact information
Practice address
849 S SYCAMORE ST, SUITE E, PETERSBURG, VA 23803-5801
(804) 732-0372
(804) 732-3435
Mailing address
849 S SYCAMORE ST, SUITE E, PETERSBURG, VA 23803-5801
(804) 732-0372
(804) 732-3435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08785
MEDICARE
VA
Enumeration date
02/08/2007
Last updated
08/24/2007
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