Organization
VIRGINIA MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA H TALBOTT RN R.D.C.S. (PRACTICE MANAGER)
(804) 526-0682
Entity
Organization
Contact information
Practice address
2905 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2400
(804) 526-0682
(804) 520-0043
Mailing address
2905 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2400
(804) 526-0682
(804) 520-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
207RC0000X
Cardiovascular Disease Physician
—
VA
207RP1001X
Pulmonary Disease Physician
—
VA
207UN0901X
Nuclear Cardiology Physician
—
VA
2084N0400X
Neurology Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0649
MEDICARE RAILROAD
VA
Enumeration date
09/16/2006
Last updated
07/21/2022
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