Organization
PRIMARY HEALTH GROUP INC
Active
Other names
Primary Health Group - Ironbridge
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VP)
(804) 237-7760
Entity
Organization
Contact information
Practice address
6439 IRON BRIDGE RD, RICHMOND, VA 23234-5205
(804) 271-8990
(804) 271-9020
Mailing address
6439 IRON BRIDGE RD, RICHMOND, VA 23234-5205
(804) 271-8990
(804) 271-9020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154362069
—
VA
Enumeration date
06/10/2006
Last updated
01/11/2008
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