Organization
ALLIANCE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZELDA WEST JOHNSON M.D. (FAMILY PRACTICE PROVIDER)
(804) 862-2878
Entity
Organization
Contact information
Practice address
40 LIBERTY ST, PETERSBURG, VA 23803-5021
(804) 862-2878
(804) 862-2879
Mailing address
40 LIBERTY ST, PETERSBURG, VA 23803-5021
(804) 862-2878
(804) 862-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302200
ANTHEM BC OF VIRGINIA
VA
Enumeration date
08/06/2007
Last updated
06/11/2008
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