Organization
PRACTITIONERS HEART HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLITA T LEWIS NP (PRACTICE MANAGER)
(804) 661-6519
Entity
Organization
Contact information
Practice address
4760 BISHOPS GATE WAY, PROVIDENCE FORGE, VA 23140-4438
(804) 661-6519
(904) 372-6121
Mailing address
4760 BISHOPS GATE WAY, PROVIDENCE FORGE, VA 23140-4438
(804) 661-6519
(904) 372-6121
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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