Organization
FOREST HILL FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ELLIS (INSURANCE COORDINATOR)
(804) 233-9661
Entity
Organization
Contact information
Practice address
4405 FOREST HILL AVE, RICHMOND, VA 23225-3241
(804) 233-9661
(804) 233-1101
Mailing address
4405 FOREST HILL AVE, RICHMOND, VA 23225-3241
(804) 233-9661
(804) 233-1101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101021333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6800
RAILROAD MEDICARE
VA
Enumeration date
12/05/2007
Last updated
03/13/2009
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