Organization
ALLIANCE FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN HALL-HARRIS NP (OFFICE MANAGER)
(804) 304-6324
Entity
Organization
Contact information
Practice address
119 W BROOKLAND PARK BLVD, RICHMOND, VA 23222-2633
(804) 304-6324
Mailing address
119 W BROOKLAND PARK BLVD, RICHMOND, VA 23222-2633
(804) 304-6324
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0024131004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346332533
—
VA
Enumeration date
04/15/2018
Last updated
04/15/2018
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