Organization
COMMONWEALTH PRIMARY CARE
Active
Other names
CPC Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL DANIEL (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization
Contact information
Practice address
9930 INDEPENDENCE PARK DR, SUITE 101, RICHMOND, VA 23233-1476
(804) 726-2600
Mailing address
8002 DISCOVERY DR, SUITE 410, RICHMOND, VA 23229-8601
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303278
ANTHEM
VA
01
—
304078
ANTHEM
VA
01
—
CC6597
RAILROAD MEDICARE
VA
Enumeration date
08/05/2007
Last updated
11/28/2007
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