Organization
ADVANTAGE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DETRICK (OWNER)
(804) 381-6252
Entity
Organization
Contact information
Practice address
7605 FOREST AVE STE 412, RICHMOND, VA 23229-4941
(804) 381-6252
Mailing address
7605 FOREST AVE STE 412, RICHMOND, VA 23229-4941
(804) 381-6252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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